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Emergency obstetric hysterectomies for postpartum haemorrhage
1Department of Obstetrics and Gynecology, Pamela Youde Nethersole Eastern Hospital, Hong Kong.
Objective:
To review emergency obstetric hysterectomy in our unit, including the indications for and morbidity associated with the procedure.
Design:
A retrospective cases analysis.
Subjects And Methods:
Records of obstetric patients who had undergone emergency hysterectomies in between 15 October 1993 and 31 December 1997 were reviewed retrospectively.
Results:
There were 15,474 deliveries and 7 emergency obstetric hysterectomies. All cases had total abdominal hysterectomy. The indications for hysterectomy were uterine atony and placental disorders. There were one case of urinary bladder injury and 2 cases of disseminated intravascular coagulopathy. There was no maternal mortality.
Conclusion:
Emergency obstetric hysterectomy remains a potentially life-saving procedure in unavoidable catastrophe. The 7 patients with life threatening postpartum haemorrhage underwent hysterectomy after failure of conservative measures. The morbidity is low and there was no mortality in this series.