Postpartum Hysterectomy

2020 ◽  
Author(s):  
Keyword(s):  
Postpartum Hysterectomy

Emergency Postpartum Hysterectomy for Uncontrolled Postpartum Bleeding

2010 ◽  
Vol 115 (3) ◽  
pp. 637-644 ◽  
Author(s):  
A. Cristina Rossi ◽  
Richard H. Lee ◽  
Ramen H. Chmait
Keyword(s):  
Postpartum Bleeding ◽  
Postpartum Hysterectomy

Risk Factors for Adverse Maternal Outcomes following Expectantly Managed Preterm Prelabor Rupture of Membranes

2021 ◽  
Author(s):  
Alice J. Darling ◽  
Hailey M. Harris ◽  
Gregory E. Zemtsov ◽  
Maria Small ◽  
Matthew R. Grace ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Acute Kidney Injury ◽  
Venous Thromboembolism ◽  
Maternal Morbidity ◽  
Private Insurance ◽  
Kidney Injury ◽  
Severe Morbidity ◽  
Prelabor Rupture Of Membranes ◽  
Postpartum Hysterectomy

Objective We sought to characterize the incidence and risk factors associated with developing maternal morbidity following preterm prelabor rupture of membranes. Study Design Retrospective case–control study of patients with preterm prelabor rupture of membranes at a single institution from 2013 to 2019 admitted at ≥23 weeks gestational age. The primary outcome was a composite of maternal morbidity which included: death, sepsis, intensive care unit (ICU) admission, acute kidney injury, postpartum dilation and curettage, postpartum hysterectomy, venous thromboembolism, postpartum hemorrhage, postpartum wound complication, postpartum endometritis, pelvic abscess, postpartum pneumonia, readmission, and/or need for blood transfusion were compared with patients without above morbidities. Severe morbidity was defined as: death, ICU admission, venous thromboembolism, acute kidney injury, postpartum hysterectomy, sepsis, and/or transfusion >2 units. Demographics, antenatal, and delivery characteristics were compared between patients with and without maternal morbidity. Bivariate statistics and regression models were used to compare outcomes and calculate adjusted odd ratios. Results Of 361 included patients, 64 patients (17.7%) experienced maternal morbidity and nine (2.5%) had severe morbidity. Patients who experienced maternal morbidity were significantly (p < 0.05) more likely to be older, have private insurance, have BMI ≥40, have chorioamnionitis at delivery, and undergo cesarean or operative vaginal delivery when compared with patients who did not experience morbidity. After controlling for confounders, cesarean delivery (aOR 2.38, 95% CI[1.30,4.39]), body mass index ≥40 at admission (aOR 2.54, 95% CI[1.12,5.79]), private insurance (aOR 3.08, 95% CI[1.54,6.16]), and tobacco use (aOR 3.43, 95% CI[1.58,7.48]) were associated with increased odds of maternal morbidity. Conclusion In this cohort, maternal morbidity occurred in 17.7% of patients with preterm prelabor rupture of membranes. Private insurance, body mass index ≥40, tobacco use, and cesarean delivery were associated with higher odds of morbidity. These data can be used in counseling and to advocate for smoking cessation. Key Points

Emergency Postpartum Hysterectomy for Uncontrolled Postpartum Bleeding: A Systematic Review

2010 ◽  
Vol 115 (6) ◽  
pp. 1306-1307
Author(s):  
Marian Knight ◽  
Jennifer J. Kurinczuk ◽  
Patsy Spark ◽  
Peter Brocklehurst
Keyword(s):  
Systematic Review ◽  
Postpartum Bleeding ◽  
Postpartum Hysterectomy

Risk factors for emergency postpartum hysterectomy: the neglected role of previous surgically induced abortions

2011 ◽  
Vol 90 (12) ◽  
pp. 1450-1453 ◽  
Author(s):  
MANUELA W. OSSOLA ◽  
EDGARDO SOMIGLIANA ◽  
MARIA MAURO ◽  
BARBARA ACAIA ◽  
LAURA BENAGLIA ◽  
...  
Keyword(s):  
Risk Factors ◽  
Induced Abortions ◽  
Surgically Induced ◽  
Postpartum Hysterectomy

scholarly journals Standardized Management Protocol in Severe Postpartum Hemorrhage: A Single-Center Study

2018 ◽  
Vol 24 (6) ◽  
pp. 884-893 ◽  
Author(s):  
Giuseppe Colucci ◽  
Karin Helsing ◽  
Franziska Demarmels Biasiutti ◽  
Luigi Raio ◽  
Pirmin Schmid ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Factor Vii ◽  
Study Cohort ◽  
Blood Products ◽  
Recombinant Activated Factor Vii ◽  
Historical Cohort ◽  
Estimated Blood Loss ◽  
Management Protocol ◽  
Sequential Administration ◽  
Postpartum Hysterectomy

Severe postpartum hemorrhage (sPPH) is an obstetric emergency that needs prompt and effective therapy to reduce the risk of complications. In this study, women who developed sPPH (study cohort, n = 27) were treated according to a standardized management protocol prescribing sequential administration of uterotonic drugs, crystalloids, tranexamic acid, labile blood products, low-dose fibrinogen, and recombinant activated factor VII (rFVIIa). This group was compared to patients treated with different strategies during 2 preceding periods: an in-house guideline regulating the administration of rFVIIa (historical cohort 1, n = 20) and no specific guideline (historical cohort 2, n = 27). The management protocol was used over 33 months. The study cohort had a lower estimated blood loss ( P = .004) and required less red blood cell concentrates ( P = .007), fresh frozen plasma units ( P = .004), and platelet concentrates ( P = .020) compared to historical cohort 1 and historical cohort 2, respectively. The necessity of emergency postpartum hysterectomy was lower in the study group ( P = .012). In conclusion, in patients with sPPH treated with this standardized management protocol, we observed a decreased requirement of labile blood products and lower need to proceed to emergency postpartum hysterectomy.

A clinical analysis of 10 cases of relaparotomy after emergency postpartum hysterectomy

2010 ◽  
Vol 53 (4) ◽  
pp. 313
Author(s):  
Chan Eun Park ◽  
Ji Eun Sung ◽  
Min Sun Kyung ◽  
Yong Cho ◽  
Eu Sun Ro
Keyword(s):  
Clinical Analysis ◽  
Postpartum Hysterectomy

O664 Preventable postpartum hysterectomy - A weekend procedure?

2009 ◽  
Vol 107 ◽  
pp. S283-S283
Author(s):  
S. Nastasia ◽  
M. Russu ◽  
S. Butuc ◽  
A. Murariu ◽  
C. Posea ◽  
...  
Keyword(s):  
Postpartum Hysterectomy
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