Emergency Peripartum Hysterectomy in the Lakes Region of Turkey: Incidence and Maternal Morbidity

Objective: To estimate the incidence, indications, risk factors, and complications of peripartum hysterectomy in a university clinic and a state hospital in the Lakes region of Anatolia. Design: Retrospective clinical study. Setting: This retrospective study was conducted between December 1996 and December 2005 at the Süleyman Demirel University, Faculty of Medicine, Department of Obstetrics and Gynecology and Isparta Women’s and Children’s Hospital. Patients: Twenty-eight patients who underwent emergency peripartum hysterectomy. Main Outcome Measures: Twenty-eight patients with emergency peripartum hysterectomy were evaluated with respect to the demographic characteristics, clinical manifestation, state of parity and type of hysterectomy. Results: In the study period, the incidence of emergency peripartum hysterectomy was 0.8 per 1000 deliveries. The main indications for emergency hysterectomy were uterine atony in 18 cases (64 %), rupture of uterus in 6 cases (21 %) and placenta accreta in 4 cases (14 %). There were 20 (71 %) multiparaous and 8 (28 %) primiparaous women. There were 4 total abdominal hysterectomies and 24 subtotal hysterectomies.The rate of maternal mortality was 4% (1 cases). Conclusion: Our incidence of emergent peripartum hysterectomy was low when compared with most of the studies and uterine atony was the most common indication for emergent peripartum hysterectomy.