Premium
Emergency peripartum hysterectomy in the nulliparous patient
Author(s) -
Seffah J.D.,
KwameAryee R.A.
Publication year - 2007
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.11.018
Subject(s) - medicine , hysterectomy , obstetrics , incidence (geometry) , placenta accreta , gynecology , retrospective cohort study , pregnancy , placenta , surgery , fetus , physics , biology , optics , genetics
Objective : To find out the incidence, indications and outcomes of emergency peripartum hysterectomy in the nulliparous woman. Method : Retrospective study at the Korle Bu Teaching Hospital in Accra, Ghana, between January 1995 and December 2003. Results : During the eight‐year study period there were 92,966 deliveries out of which 36,550 (39.5%) were for the nulliparous. Peripartum hysterectomy was performed for 39 nulliparous women, thus giving an incidence of 1 per 1000 nulliparous deliveries. The indications for the hysterectomy were: atonic uterus 28 (71.8%), ruptured uterus 8 (20.5%) and placenta praevia/accreta 3 (7.7%). The perinatal losses were 8 (20.5%) and the total blood loss ranged from 1 to 4.5 l. There were no maternal deaths but there were 7 near‐missed fatalities. Conclusion : Though rare, peripartum hysterectomy in the nulliparous patients carries high maternal morbidity and perinatal mortality.