Peripartum hysterectomy for primary postpartum haemorrhage: Incidence and maternal morbidity

• DOI: 10.1080/01443610601016925
• Publication Date: 2007-03-30T10:36:05Z
• Authors: J. Smith; H. A. Mousa
• Keywords: Postpartum haemorrhage; Maternal morbidity; Antepartum haemorrhage

This was a retrospective analysis of postpartum emergency hysterectomy performed between 1988-2003, to study incidence indicators, risk factors and complications. We included any women who required control major haemorrhage (PPH) after delivery, following pregnancy at least 24 weeks' gestation, regardless the mode delivery. excluded cases that for gynaecological reasons. There were 18 (14 caesarean four hysterectomy, vaginal delivery), giving rate 0.36/1,000 deliveries. Overall, most common indication placenta accreta (28%) uterine atony (28%). Although there no maternal death, intra- postoperative complications prevalent including cardiac arrest (1), disseminated intravascular coagulopathy (4), pulmonary oedema septicaemia bladder injury (1). Placenta is becoming leading cause hysterectomy. life saving operation, it associated with high morbidity.