gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Peripartum hysterectomy ? increasing problem in modern obstetrics



Introduction. Peripartum hysterectomy, is a hysterectomy performed at the time of delivery or within 24 hours of delivery or cesarean section. It is one of the most severe complications in obstetrics and is related to significant maternal morbidity. The reasons for choosing hysterectomy are inability to stop excessive uterine bleeding with noninvasive methods, placenta accrete, increate, percreta, uterine rupture, cancer. Material and methods. There were 52189 deliveries in the Specjalistyczny Szpital Ginekologiczno-Po?o?niczy in Wa?brzych between 1985-2009 during the study period, among which 21 women underwent peripartum hysterectomy (0.04%). Results. The overall cesarean delivery rate has increased from 11,38 to 21,96% during these years, the percentage of peripartum hysterectomy has increased from 0,031%( 1985-2004) to 0,079%(2005-2009). In our study the main reasons of peripartum hysterectomy were: cancer, placenta increta, severe obstetric hemorrhage fails to respond to conservative treatment.