Hysterectomy in the early postpartum period: prevalence and risk factors
V.B. TSKHAY1
1V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk
Contact details:
Tskhay V.B. — MD, Professor, Head of the Department of Perinatology, Obstetrics and Gynecology
Address: 2 Akademika Kirenskogo St., A/1, 660074 Krasnoyarsk, Russian Federation, tel.: +7-923-287-21-34, e-mail: tchai@yandex.ru
Peripartum hysterectomy (PHE) can lead to crucial morbidity and mortality.Peripartum hysterectomy is defined as hysterectomy within 6 weeks of delivery and as a complication of postpartum hemorrhage. A peripartum hysterectomy is typically performed as a lifesaving procedure in obstetrics to manage severe postpartum hemorrhage. Severe hemorrhages that lead to peripartum hysterectomies are mainly caused by uterine atony and placenta accreta spectrum disorders.
The purpose was to estimate the incidence of PHE after severe bleeding during labor and to investigate the causes, risk factors and methods of treatment for this complication. The most common complications of PHE were also analyzed.
Key words: emergency peripartum hysterectomy, postpartum hemorrhage, abnormal placentation, cesarean section, maternal morbidity, maternal mortality.
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