Abstract
The aim of this study was to determine the incidence, indications, maternal outcomes and complications of peripartum hysterectomy in our environment. For this purpose we retrospectively analyzed 17 cases of peripartum hysterectomy performed at the Obstetrics and Gynecology Department of Hospital General Universitario de Elche between January 2001 and December 2005.The incidence of peripartum hysterectomy was 1.3 per 1000 deliveries. The most frequent indications for the procedure were uterine atony (53%), placenta accreta (23%) and uterine rupture (12%). There were no maternal deaths. The most common complications were hemorrhage/coagulopathy (53%) and infection (24%). More than 90% of the patients required transfusion.Peripartum hysterectomy was associated with significant morbidity. Prior identification of probable cases can improve the results by allowing adequate preparation for this procedure and the involvement of the most experienced obstetricians.
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