Emergency obstetric hysterectomy—an increasing incidence

Emergency obstetric hysterectomy—an increasing incidence

Ten women underwent obstetric hysterectomy at St George's Hospital, London between 1992 and 1998, with an apparent seven-fold increase in incidence in recent years. All hysterectomies were performed as emergency procedures, with massive postpartum haemorrhage being the major indication for oper...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology Vol. 19; no. 6; pp. 580 - 583
Main Authors: Gould, Deborah A, Butler-Manuel, S A, Turner, Miren J, Carter, P G
Format: Journal Article
Language:English
Published: England Informa UK Ltd 1999
Taylor & Francis
Taylor & Francis Ltd
Subjects:
Emergency services
Hysterectomy
Obstetrics
Online Access:Get full text
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Summary:Ten women underwent obstetric hysterectomy at St George's Hospital, London between 1992 and 1998, with an apparent seven-fold increase in incidence in recent years. All hysterectomies were performed as emergency procedures, with massive postpartum haemorrhage being the major indication for operation in nine cases. Abnormal placentation was the single commonest cause, seven cases being associated with previous caesarean section. There were no maternal or fetal mortalities, but major surgical complications, including urinary tract and vascular injury occurred in one case. In view of the increasing risk of obstetric hysterectomy following previous caesarean section, high risk cases associated with abnormal placentation may be identified using ultrasound, allowing appropriate pre-operative counselling regarding the risk of peripartum hysterectomy.
Bibliography:ObjectType-Article-1
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ISSN:0144-3615
1364-6893
DOI:10.1080/01443619963761