caa a22 4500 445307757 CHVBK 20180317142618.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00404-010-1451-z doi (NATIONALLICENCE)springer-10.1007/s00404-010-1451-z Emergency peripartum hysterectomy [Elektronische Daten] [Rana Karayalçın, Sarp Özcan, Şebnem Özyer, Leyla Mollamahmutoğlu, Nuri Danışman] Purpose: To determine the incidence, indications, risk factors and complications of peripartum hysterectomy in a tertiary teaching hospital. Methods: The medical records of 73 patients who had undergone emergency peripartum hysterectomy between 2003 and 2008 were reviewed retrospectively. Maternal characteristics and characteristics of the present pregnancy and delivery, hysterectomy indications, operative complications, postoperative conditions and maternal outcomes were evaluated. Results: There were 73 emergency peripartum hysterectomies out of 114,720 deliveries, a rate of 0.63 per 1,000 deliveries. Eleven hysterectomies were performed after vaginal delivery (0.12/1,000 vaginal deliveries) and the remaining 62 hysterectomies were performed after cesarean section (2/1,000 cesarean sections). The most common indication for hysterectomy was placenta previa and/or accreta (31 patients, 42.4%), followed by uterine atony (26 patients, 35.6%). In this study, 22 of 29 patients (75.8%) with placenta previa and 12 of 16 patients (75%) with placenta accreta had previously had cesarean sections. Cesarean section is associated with placenta previa and accreta, which are the most common causes of emergency peripartum hysterectomy. Conclusion: The increase in the cesarean delivery rate is leading to an increase in the rate of abnormal placentation (placenta previa and accreta), which in turn give rise to an increase in the peripartum hysterectomy rate. Cesarean section itself is also a risk factor for emergency peripartum hysterectomy. Therefore, every effort should be made to reduce the cesarean rate by performing this procedure only for valid clinical indications. The risk factors for peripartum hysterectomy should be identified antenatally. The delivery and operation should be performed in appropriate clinical settings by experienced surgeons when risk factors are identified. Springer-Verlag, 2010 Emergency peripartum hysterectomy nationallicence Postpartum hemorrhage nationallicence Cesarean section nationallicence Placenta previa accreta nationallicence Karayalçın Rana Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut Özcan Sarp Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut Özyer Şebnem Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut Mollamahmutoğlu Leyla Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut Danışman Nuri Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 283/4(2011-04-01), 723-727 0932-0067 283:4<723 2011 283 404 https://doi.org/10.1007/s00404-010-1451-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1451-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Karayalçın Rana Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut NATIONALLICENCE 700 1- Özcan Sarp Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut NATIONALLICENCE 700 1- Özyer Şebnem Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut NATIONALLICENCE 700 1- Mollamahmutoğlu Leyla Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut NATIONALLICENCE 700 1- Danışman Nuri Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Education and Research Hospital, Tunus Cad 61/7 Kavaklıdere, Ankara, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/4(2011-04-01), 723-727 0932-0067 283:4<723 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer