Peripartum Hysterectomy Outcomes: Our Eleven-Year Experience at a Tertiary Care Hospital
Yazarlar (5)
Dr. Öğr. Üyesi Arife AKAY ACEMOĞLU Etlik Zubeyde Hanim Gynecology Education & Research Hospital, Türkiye
Yildiz Akdas Reis Etlik Zubeyde Hanim Gynecology Education & Research Hospital, Türkiye
Susam Celik Etlik Zubeyde Hanim Gynecology Education & Research Hospital, Türkiye
Fahri Burcin Firatligil Etlik Zubeyde Hanim Gynecology Education & Research Hospital, Türkiye
Yaprak Engin Ustun Etlik Zubeyde Hanim Gynecology Education & Research Hospital, Türkiye
| Makale Türü | Özgün Makale (ESCI dergilerinde yayınlanan tam makale) | ||
| Dergi Adı | Journal of Obstetrics and Gynecology of India | ||
| Dergi ISSN | 0971-9202 Dergi Bilgileri (2023) | ||
| Dergi Tarandığı Indeksler | ESCI | ||
| Makale Dili | Türkçe | Basım Tarihi | 11-2023 |
| Kabul Tarihi | 24-07-2023 | Yayınlanma Tarihi | 02-11-2023 |
| Cilt / Sayı / Sayfa | 73 / 1 / 185–190 | DOI | 10.1007/s13224-023-01818-z |
| Makale Linki | https://pmc.ncbi.nlm.nih.gov/articles/PMC10746615/pdf/13224_2023_Article_1818.pdf | ||
| UAK Araştırma Alanları |
Kadın Hastalıkları ve Doğum
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| Özet |
| Aim: To investigate the outcomes of peripartum hysterectomies (PHs) conducted to prevent maternal morbidity and mortality at a tertiary care hospital with 15,000 deliveries per year. Method: Patients who underwent PHs during delivery and/or within 24 h of delivery between the years 2011–2022 were retrospectively evaluated. Hysterectomies not performed in the peripartum period, cases that were managed by methods such as balloon tamponade, compression suture, or arterial ligation rather than hysterectomy, and hysterectomies performed before 20 weeks were excluded. Obstetric and demographic characteristics of the cases, as well as indications and outcomes of PH, were investigated. Results: Among the 130 patients who underwent PH, 4 (3.04%) patients delivered vaginally, 1 (0.7%) patient delivered vaginally after cesarean section, 12 (9.2%) patients delivered by primary cesarean section, and 113 (86.9%) patients delivered by secondary cesarean section. Placenta accreta spectrum disorder was the reason for PH in 54.6% (n = 71) of the cases while 16.1% (n = 21) underwent PH due to uterine atony. The PH rate was 0.75 per 1000 births, and the maternal mortality rate was 7.6 per 1000 hysterectomies in this study. Conclusion: Obstetricians in developed/ing countries support the active management of the third stage of labor mainly to mitigate the preventable risk factors of post-/peri-partum hemorrhage. The current study suggests that obstetricians need to focus on the placenta in order to reduce PH. |
| Anahtar Kelimeler |
| "Peripartum hysterectomy" | "Postpartum hemorrhage" | "Placenta acreata spectrum" | "Uterine atony" |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| Web of Science | 2 |
| Scopus | 2 |