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Published on: January 17, 2019
Peripartum hysterectomy: 1999 to 2006
Sarah Glaze1, Pauline Ekwalanga, Gregory Roberts
1Department of Obstetrics and Gynaecology, University of Calgary, Calgary, Alberta, Canada.
Obstetrics and Gynecology
|March 4, 2008
Summary
The rate of peripartum hysterectomy in Calgary was 0.8 per 1,000 deliveries, with abnormal placentation being the primary cause. The study found no increase in this rate over eight years.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Outcomes
Background:
- Peripartum hysterectomy is a critical surgical intervention for managing severe postpartum hemorrhage.
- Understanding the incidence and indications is vital for improving maternal care.
- Previous studies highlight varied rates and indications globally.
Purpose of the Study:
- To determine the incidence of peripartum hysterectomy in Calgary from 1999 to 2006.
- To identify the primary indications for peripartum hysterectomy.
- To assess trends in the rate of peripartum hysterectomy over the study period.
Main Methods:
- A retrospective chart review was conducted for all peripartum hysterectomies.
- Data collected included obstetric history, pregnancy details, and hysterectomy outcomes.
- Infant morbidity associated with these cases was also analyzed.
Main Results:
- The overall rate of peripartum hysterectomy was 0.8 per 1,000 deliveries.
- Uterine atony (37%) and placenta accreta (33%) were the leading indications.
- Over half of the women (53%) required intensive care unit admission post-surgery.
Conclusions:
- Abnormal placentation is a significant driver of peripartum hysterectomy.
- Early risk assessment and management of postpartum hemorrhage are crucial for prevention.
- Despite optimal management, peripartum hysterectomy may still be necessary in some cases.
