Abstract:

The aim of the present study was to determine the incidence, indications and maternal characteristicsof emergency peripartum hysterectomy (EPH). Medical records belong to 49 patients, that undergone EPH at Diyarbakır Gynecology and ObstetricsHospital, between September 2005 and August 2008 were retrospectively reviewed. During three years,from 63463 deliveries, hysterectomy was performed to 49 patients (0.77/1000) due to obstetricalhemorrhage.Indications for EPH were uterine atony (49.6%), uterine rupture (42.9%) and placenta accreata (8.2%).The mean age of patients was 34.6±5.7 years, and mean gravida was 5.5±2.4. Subtotal hysterectomy was performed to 31 (63.3%) patients and total hysterectomy to 18 (36.7%) of them. Bilateral hypogastric artery ligation was performed to 8 (16.3%) and unilateral ooferectomy to 7 (14.3%). Two of our patients died secondary to uncontrolled uterine bleeding.In conclusion, uterine atony and uterine rupture were the most frequent causes of EPH. Emergent and appropriate management of these patients is the most important life saving procedure.

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