Peripartum hysterectomy pdf file

A total of 54 166 mothers delivered at the riyadh armed forces hospital between 1990 and 1997, including 6119 11. Definition history incidence and trend risk factors 3. The type of hysterectomy totalsubtotal was unable to be determined from the procedure code in 8% of women. Bladder dissection is necessary before uterine artery ligation. Peripartum hysterectomy was defined as those completed during the birth episode of care and identified using icd10am procedure block codes 1268 and 1269. Emergency peripartum hysterectomy eph is a major surgical venture invariably performed in the setting of life threatening hemorrhage during or immediately after abdominal and vaginal deliveries 15. Design a populationbased descriptive study using the uk obstetric surveillance system ukoss.

Definition any woman giving birth and undergoing a hysterectomy in the same clinical episode or within six weeks postpartum when the indication for hysterectomy is related to the birth 4. Admission to the intensive care unit or coronary care unit collectively referred to as icu was required for 233 mothers 56%. Setting all 229 hospitals with consultantled maternity units in the uk. Umezurike and others published peripartum hysterectomy find, read and cite all the research you need on researchgate. Peripartum hysterectomy is done for severe uterine atony due to placental abruption. The incidence of peripartum hysterectomy in queenslandl. Owing to the rising cesarean section rate world wide and the concomitant rise in placenta previa and placenta previa accreta, the incidence of emergency peripartum hysterectomy is rising in many countries5,11,12,25. Peripartum hysterectomy study 0505 data collection form case case definition.

Morbidity and mortality associated with peripartum. Despite advances in medical and surgical fields, post partum hemorrhage continues to be the leading cause of maternal morbidity and mortality. Objectives to identify women undergoing peripartum hysterectomy in the uk and to describe the causes, management and outcome of the associated haemorrhage. Blood transfusion was required by 338 of the mothers studied 81%.