MEDICAL AND SOCIAL CHARACTERISTICS OF WOMEN OF YOUNG REPRODUCTIVE AGE AFTER HYSTERECTOMY

• Published in: Acta biomedica scientifica Vol. 3; no. 4; pp. 15 - 20
• Main Authors: Frolova, N. I., Belokrinitskaya, T. E., Barkan, T. M., Golygin, E. V., Liga, V. F., Pletneva, V. A., Plotkin, I. B., Potapova, E. N., Tarbaeva, D. A., Khaven, T. V., Falko, E. V., Shemyakina, K. N.
• Format: Journal Article
• Language: English; Russian
• Published: Scientific Сentre for Family Health and Human Reproduction Problems 28-07-2018
• Subjects: hysterectomy; reproductive potential; risk factors; young women
• ISSN: 2541-9420; 2587-9596
• DOI: 10.29413/ABS.2018-3.4.2

Background
. In many countries, hysterectomy is one of the most frequently performed surgical procedures.
The objective
of our analysis was to assess the social and medical characteristics of young reproductive-age patients who underwent hysterectomy.
Materials and methods
. A retrospective study involved 140 women aged 18–35 years (median age 29.4 ± 4.7 years) who underwent emergency or elective hysterectomy in the hospitals of Zabaykalsky Krai for a period of 5 years (January 1, 2013, to December 31, 2017).
Results
. 51.4 % of patients were housewives; 52.9 % were single; 55.7 % had bad habits (smoking, alcohol consumption). These women had a high incidence of socially significant infections: HIV – 3.6 %, active forms of tuberculosis – 1.5 %. 89.3 % of hysterectomies were emergent and 10.7 % were elective (p = 0.0001; OR = 69.4; 95% CI 32.6–148.1). The indications for the emergency hysterectomy were uterine myoma (80 %) and cervical or ovarian cancer (20 %). The obstetrical complications were the main indications for the emergency surgery: placenta abruption – 24.0 %; placenta previa – 20.8 % (placenta increta and/or percreta – 16.8 %; massive antenatal bleeding – 4.0 %); postpartum hemorrhage after vaginal delivery and caesarean section 19.2 %; septic and/or hemorrhagic shock in early miscarriages (from 8 to 19 weeks of gestation) 15.2 %. Mortality was registered in case of emergency hysterectomy only (4.3 %). Half of the deaths (50 %) occurred in cases of complicated miscarriages.
Conclusion
. To preserve the reproductive potential of young women of reproductive age, it is necessary to increase their social and cultural level, and responsibility for their own health and gender behavior.