Peripartum hysterectomies at the korle-bu teaching hospital: a review of 182 consecutive cases
| Autor: | RA Kwame-Aryee, JD Seffah, AK Kwakye |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Peripartum
hysterectomy uterine rupture uterine atony maternal morbidity maternal mortality medicine.medical_specialty education.field_of_study Blood transfusion Hysterectomy Obstetrics Placenta accreta business.industry medicine.medical_treatment Population General Medicine Original Articles medicine.disease Uterine rupture Uterine atony medicine Childbirth Caesarean section education business |
| Zdroj: | Ghana Medical Journal; Vol 41, No 3 (2007) |
| ISSN: | 0016-9560 |
| Popis: | Objectives: The main objectives of this study were to determine the incidence, maternal characteristics, indications, the maternal and perinatal outcomes and the complications of emergency peripartum hysterectomies done at the Korle-Bu Teaching Hospital. Study design: This is a retrospective descriptive study covering the period January 1, 2000 to June 30, 2003. Setting: Maternity Unit of the Korle-Bu Teaching Hospital Results: The incidence of peripartum hysterectomy during the study period was 4.34/1000 deliveries. The main indication was severe uterine bleeding from uterine rupture 89 (48.9%), uterine atony 60 (33%), placenta accreta 20 (11%) and post caesarean uterine wound sepsis and necrosis 11 (6%). The average blood loss was 2.02 (SD 0.86) L and all patients received blood transfusion. The mean age of the patients was 31.6 (SD 5.3) years and the mean parity was 2.7 (SD 1.7). Complications occurred in 28 (19.8%) patients. The stillbirth rate was 483.5/1000 deliveries and the maternal mortality was 12.9%. The average duration of hospital stay was 11 (SD 8) days. Conclusions: The incidence of emergency peripartum hysterectomy is high. It is performed for young nulliparous women through to elderly grand-multiparous women. The surgery is associated with significant maternal and perinatal morbidity and mortality. Timely expert management in a well resourced centre is advocated. |
| Databáze: | OpenAIRE |
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