Özet:

Aim: To investigate the incidence, indications, risk factors, as well as the effects on maternal morbidity and mortality for the emergency peripartum hysterectomy cases performed at our hospital. Material and Method: For the 12 cases that underwent emergency peripartum hysterectomy for various obstetric reasons between July 2006 and June 2012 at the Kocaeli Derince Training and Research Hospital Clinic of Gynecology and Obstetrics, the demographic characteristics, incidence, associated risk factors, indications, complications, maternal morbidity and mortality rates were retrospectively evaluated. Findings: A total of 12,314 deliveries were performed at our hospital within last six years, and emergency peripartum hysterectomy was performed for 12 patients in the same time period. The incidence of emergency peripartum hysterectomy was % 0.097. The average age of the patients was determined as 31.92 ± 5.48, their average gravida as 3.08 ± 2.19, and their average parity as 1.83 ± 0.83. The most frequently observed indication was uterine atony, with a rate of occurrence of 50%. Regarding the peripartum hysterectomies, 6 (50%) were performed as total hysterectomies and 6 (50%) as subtotal hysterectomies. For 2 (16.7%) of the patients, bilateral hypogastric artery ligation was performed concomitantly to the hysterectomy procedure, and relaparotomy for intra-abdominal bleeding was performed in 1 (8.3%) of the patients. Consumption coagulopathy was observed in 1 (8.3%) of the patients and intraoperative bladder injury was also observed for 1 (8.3%) of the patients. There were no cases of maternal mortality. Conclusion: The most frequent indication for emergency peripartum was incontrollable vaginal bleeding due to uterine atony.While emergency peripartum hysterectomy has a high rate of maternal morbidity (25 percent in our series), our maternal mortality rate is null.

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