Clinical study of perinatal hysterectomy between 2000-2011 in the clinic of obstetrics, gynecological diseases and oncological gynecology in Bydgoszcz
Perinatal hysterectomy (PH) is usually a life-saving procedure, which is performed after all conservative treatment options fail. The PH frequency rate ranges from 0.04 to 0.23%. The most frequent indications for this procedure include: abnormal placental implantation, placenta previa, uterine ruptu...
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| Veröffentlicht in: | Ginekologia polska 2014-03, Vol.85 (3), p.192-196 |
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| creator | Jagielska, Iwona Kazdepka-Ziemińska, Anita Tyloch, Małgorzata Papierski, Maciej Zołniezewicz, Krzysztof Grabiec, Marek Szymański, Wiesław |
| description | Perinatal hysterectomy (PH) is usually a life-saving procedure, which is performed after all conservative treatment options fail. The PH frequency rate ranges from 0.04 to 0.23%. The most frequent indications for this procedure include: abnormal placental implantation, placenta previa, uterine rupture and uterine atony
Clinical study of perinatal hysterectomy cases taking into consideration the frequency indications, complications and risk factors related to this procedure.
The study included 16 women who underwent perinatal hysterectomy at the Department and Clinic of Obstetrics and Gynecological Diseases between 2000-2011. The following data were collected from medical records: course of pregnancy labor and puerperium. The profile of the study group was conducted in terms of: maternal age, parity gestation length, history of caesarean sections and gynecological operations. The following factors were studied: the termination of pregnancy, indications for caesarean section, hysterectomy-related complications and indications, neonatal birth weight and Apgar score. The statistical analysis was performed using Statistica 9.1 by StatSoft. Data are expressed as the arithmetic mean and standard deviation (SD).
Sixteen perinatal hysterectomy procedures were performed, accounting for 0.066% of the overall number of labors. Average maternal age and pregnancy length were 31.6 years [SD+/-6.3] and 36.1 weeks of gestation [SD+/-3.4], respectively PH was more frequently performed among multiparous women (81.25%) and after caesarean sections (87.5%). Fetal asphyxia was the most frequent indication for caesarean section (35.7%). Fourteen percent of all indications accounted for the lack of consent from a pregnant woman to make an attempt at spontaneous vaginal delivery after previous c-section. Fifty percent of the women from the study group had a previous caesarean section, whereas 25% had more than one prior c-section. Between 2009-2011, as compared to previous years, the highest percentage of hysterectomies (80%) was reported in pregnant women after a previous caesarean section. The most frequent indication for hysterectomy included abnormal placental implantation (43.75%) diagnosed more often in patients with a history of caesarean section (57%). Among PH complications, a hemorrhagic shock was reported in 37.4% and bladder injury in 18.7% of the women. Every patient required a transfusion of erythrocyte concentrate, 4.7 units [SD+/-3.5] on average. Twenty-five percen |
| doi_str_mv | 10.17772/gp/1712 |
| format | Article |
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Clinical study of perinatal hysterectomy cases taking into consideration the frequency indications, complications and risk factors related to this procedure.
The study included 16 women who underwent perinatal hysterectomy at the Department and Clinic of Obstetrics and Gynecological Diseases between 2000-2011. The following data were collected from medical records: course of pregnancy labor and puerperium. The profile of the study group was conducted in terms of: maternal age, parity gestation length, history of caesarean sections and gynecological operations. The following factors were studied: the termination of pregnancy, indications for caesarean section, hysterectomy-related complications and indications, neonatal birth weight and Apgar score. The statistical analysis was performed using Statistica 9.1 by StatSoft. Data are expressed as the arithmetic mean and standard deviation (SD).
Sixteen perinatal hysterectomy procedures were performed, accounting for 0.066% of the overall number of labors. Average maternal age and pregnancy length were 31.6 years [SD+/-6.3] and 36.1 weeks of gestation [SD+/-3.4], respectively PH was more frequently performed among multiparous women (81.25%) and after caesarean sections (87.5%). Fetal asphyxia was the most frequent indication for caesarean section (35.7%). Fourteen percent of all indications accounted for the lack of consent from a pregnant woman to make an attempt at spontaneous vaginal delivery after previous c-section. Fifty percent of the women from the study group had a previous caesarean section, whereas 25% had more than one prior c-section. Between 2009-2011, as compared to previous years, the highest percentage of hysterectomies (80%) was reported in pregnant women after a previous caesarean section. The most frequent indication for hysterectomy included abnormal placental implantation (43.75%) diagnosed more often in patients with a history of caesarean section (57%). Among PH complications, a hemorrhagic shock was reported in 37.4% and bladder injury in 18.7% of the women. Every patient required a transfusion of erythrocyte concentrate, 4.7 units [SD+/-3.5] on average. Twenty-five percent of the neonates were born in poor condition with an Apgar score of 1-3. In case of all women, the therapy required cooperation of different specialists including obstetricians, anesthesiologists, urologists, surgeons and general practitioners.
1. Current and previous caesarean section constitutes a risk factor for perinatal hysterectomy 2. Placental pathology is the most frequent indication for perinatal hysterectomy 3. The growing number of caesarean sections should encourage obstetricians to conduct a more careful analysis of indications.</description><identifier>ISSN: 0017-0011</identifier><identifier>EISSN: 0017-0011</identifier><identifier>EISSN: 2543-6767</identifier><identifier>DOI: 10.17772/gp/1712</identifier><identifier>PMID: 24783430</identifier><language>eng ; pol</language><publisher>Poland: Wydawnictwo Via Medica</publisher><subject>Adult ; Apgar Score ; Cesarean section ; Cesarean Section - adverse effects ; Cesarean Section - statistics & numerical data ; Female ; Gestational Age ; Gynecological diseases ; Gynecology ; Humans ; Hysterectomy ; Hysterectomy - statistics & numerical data ; Hysterectomy - utilization ; Infant, Newborn - physiology ; Maternal Age ; Obstetrics ; Perinatal Care - methods ; Perinatal Care - statistics & numerical data ; Placenta Diseases - surgery ; Poland ; Postoperative Hemorrhage - etiology ; Pregnancy ; Pregnancy Outcome ; Risk Factors ; Shock, Hemorrhagic - etiology ; Urinary Bladder - injuries ; Womens health</subject><ispartof>Ginekologia polska, 2014-03, Vol.85 (3), p.192-196</ispartof><rights>2014. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c275t-3244e1177c8b3fb853630914bb1e7c9468461e57f8f204da8219ad78691888353</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24783430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jagielska, Iwona</creatorcontrib><creatorcontrib>Kazdepka-Ziemińska, Anita</creatorcontrib><creatorcontrib>Tyloch, Małgorzata</creatorcontrib><creatorcontrib>Papierski, Maciej</creatorcontrib><creatorcontrib>Zołniezewicz, Krzysztof</creatorcontrib><creatorcontrib>Grabiec, Marek</creatorcontrib><creatorcontrib>Szymański, Wiesław</creatorcontrib><title>Clinical study of perinatal hysterectomy between 2000-2011 in the clinic of obstetrics, gynecological diseases and oncological gynecology in Bydgoszcz</title><title>Ginekologia polska</title><addtitle>Ginekol Pol</addtitle><description>Perinatal hysterectomy (PH) is usually a life-saving procedure, which is performed after all conservative treatment options fail. The PH frequency rate ranges from 0.04 to 0.23%. The most frequent indications for this procedure include: abnormal placental implantation, placenta previa, uterine rupture and uterine atony
Clinical study of perinatal hysterectomy cases taking into consideration the frequency indications, complications and risk factors related to this procedure.
The study included 16 women who underwent perinatal hysterectomy at the Department and Clinic of Obstetrics and Gynecological Diseases between 2000-2011. The following data were collected from medical records: course of pregnancy labor and puerperium. The profile of the study group was conducted in terms of: maternal age, parity gestation length, history of caesarean sections and gynecological operations. The following factors were studied: the termination of pregnancy, indications for caesarean section, hysterectomy-related complications and indications, neonatal birth weight and Apgar score. The statistical analysis was performed using Statistica 9.1 by StatSoft. Data are expressed as the arithmetic mean and standard deviation (SD).
Sixteen perinatal hysterectomy procedures were performed, accounting for 0.066% of the overall number of labors. Average maternal age and pregnancy length were 31.6 years [SD+/-6.3] and 36.1 weeks of gestation [SD+/-3.4], respectively PH was more frequently performed among multiparous women (81.25%) and after caesarean sections (87.5%). Fetal asphyxia was the most frequent indication for caesarean section (35.7%). Fourteen percent of all indications accounted for the lack of consent from a pregnant woman to make an attempt at spontaneous vaginal delivery after previous c-section. Fifty percent of the women from the study group had a previous caesarean section, whereas 25% had more than one prior c-section. Between 2009-2011, as compared to previous years, the highest percentage of hysterectomies (80%) was reported in pregnant women after a previous caesarean section. The most frequent indication for hysterectomy included abnormal placental implantation (43.75%) diagnosed more often in patients with a history of caesarean section (57%). Among PH complications, a hemorrhagic shock was reported in 37.4% and bladder injury in 18.7% of the women. Every patient required a transfusion of erythrocyte concentrate, 4.7 units [SD+/-3.5] on average. Twenty-five percent of the neonates were born in poor condition with an Apgar score of 1-3. In case of all women, the therapy required cooperation of different specialists including obstetricians, anesthesiologists, urologists, surgeons and general practitioners.
1. Current and previous caesarean section constitutes a risk factor for perinatal hysterectomy 2. Placental pathology is the most frequent indication for perinatal hysterectomy 3. The growing number of caesarean sections should encourage obstetricians to conduct a more careful analysis of indications.</description><subject>Adult</subject><subject>Apgar Score</subject><subject>Cesarean section</subject><subject>Cesarean Section - adverse effects</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecological diseases</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Hysterectomy - statistics & numerical data</subject><subject>Hysterectomy - utilization</subject><subject>Infant, Newborn - physiology</subject><subject>Maternal Age</subject><subject>Obstetrics</subject><subject>Perinatal Care - methods</subject><subject>Perinatal Care - statistics & numerical data</subject><subject>Placenta Diseases - surgery</subject><subject>Poland</subject><subject>Postoperative Hemorrhage - etiology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Risk Factors</subject><subject>Shock, Hemorrhagic - etiology</subject><subject>Urinary Bladder - injuries</subject><subject>Womens health</subject><issn>0017-0011</issn><issn>0017-0011</issn><issn>2543-6767</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkctK7TAUhoMcUVHBJ5CAkzOwmlubdHjceAPBiY5Lmq7WSndSk5RD94P4vGZvr5jBSlj51kfIj9ARJWdUSsnOu_GcSsq20B4hVGap0D8_zrvoMIRnklbBJCvLHbTLhFRccLKHXhdDb3ujBxzi1MzYtXgE31sdU-tpDhE8mOiWM64h_gewmCVRxpIX9xbHJ8BmY1hPujrx0fcmnOJutmDc4LqNvOkD6AABa9tgZ78vvrB5rbuYm86FlVkdoO1WDwEOP_Z99Hh1-bC4ye7ur28X_-4yw2QeM86EAJp-waiat7XKecFJSUVdU5CmFIUSBYVctqplRDRaMVrqRqqipEopnvN99PfdO3r3MkGI1bIPBoZBW3BTqGjOiOQiz1VCT36hz27yNr2uYqIQjFJVsG-h8S4ED201-n6p_VxRUm3iqrqxWseV0OMP4VQvofkCP8Phb2OqjsI</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Jagielska, Iwona</creator><creator>Kazdepka-Ziemińska, Anita</creator><creator>Tyloch, Małgorzata</creator><creator>Papierski, Maciej</creator><creator>Zołniezewicz, Krzysztof</creator><creator>Grabiec, Marek</creator><creator>Szymański, Wiesław</creator><general>Wydawnictwo Via Medica</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Clinical study of perinatal hysterectomy between 2000-2011 in the clinic of obstetrics, gynecological diseases and oncological gynecology in Bydgoszcz</title><author>Jagielska, Iwona ; Kazdepka-Ziemińska, Anita ; Tyloch, Małgorzata ; Papierski, Maciej ; Zołniezewicz, Krzysztof ; Grabiec, Marek ; Szymański, Wiesław</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c275t-3244e1177c8b3fb853630914bb1e7c9468461e57f8f204da8219ad78691888353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; pol</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Apgar Score</topic><topic>Cesarean section</topic><topic>Cesarean Section - adverse effects</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecological diseases</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Hysterectomy - statistics & numerical data</topic><topic>Hysterectomy - utilization</topic><topic>Infant, Newborn - physiology</topic><topic>Maternal Age</topic><topic>Obstetrics</topic><topic>Perinatal Care - methods</topic><topic>Perinatal Care - statistics & numerical data</topic><topic>Placenta Diseases - surgery</topic><topic>Poland</topic><topic>Postoperative Hemorrhage - etiology</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Risk Factors</topic><topic>Shock, Hemorrhagic - etiology</topic><topic>Urinary Bladder - injuries</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jagielska, Iwona</creatorcontrib><creatorcontrib>Kazdepka-Ziemińska, Anita</creatorcontrib><creatorcontrib>Tyloch, Małgorzata</creatorcontrib><creatorcontrib>Papierski, Maciej</creatorcontrib><creatorcontrib>Zołniezewicz, Krzysztof</creatorcontrib><creatorcontrib>Grabiec, Marek</creatorcontrib><creatorcontrib>Szymański, Wiesław</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Ginekologia polska</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jagielska, Iwona</au><au>Kazdepka-Ziemińska, Anita</au><au>Tyloch, Małgorzata</au><au>Papierski, Maciej</au><au>Zołniezewicz, Krzysztof</au><au>Grabiec, Marek</au><au>Szymański, Wiesław</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical study of perinatal hysterectomy between 2000-2011 in the clinic of obstetrics, gynecological diseases and oncological gynecology in Bydgoszcz</atitle><jtitle>Ginekologia polska</jtitle><addtitle>Ginekol Pol</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>85</volume><issue>3</issue><spage>192</spage><epage>196</epage><pages>192-196</pages><issn>0017-0011</issn><eissn>0017-0011</eissn><eissn>2543-6767</eissn><abstract>Perinatal hysterectomy (PH) is usually a life-saving procedure, which is performed after all conservative treatment options fail. The PH frequency rate ranges from 0.04 to 0.23%. The most frequent indications for this procedure include: abnormal placental implantation, placenta previa, uterine rupture and uterine atony
Clinical study of perinatal hysterectomy cases taking into consideration the frequency indications, complications and risk factors related to this procedure.
The study included 16 women who underwent perinatal hysterectomy at the Department and Clinic of Obstetrics and Gynecological Diseases between 2000-2011. The following data were collected from medical records: course of pregnancy labor and puerperium. The profile of the study group was conducted in terms of: maternal age, parity gestation length, history of caesarean sections and gynecological operations. The following factors were studied: the termination of pregnancy, indications for caesarean section, hysterectomy-related complications and indications, neonatal birth weight and Apgar score. The statistical analysis was performed using Statistica 9.1 by StatSoft. Data are expressed as the arithmetic mean and standard deviation (SD).
Sixteen perinatal hysterectomy procedures were performed, accounting for 0.066% of the overall number of labors. Average maternal age and pregnancy length were 31.6 years [SD+/-6.3] and 36.1 weeks of gestation [SD+/-3.4], respectively PH was more frequently performed among multiparous women (81.25%) and after caesarean sections (87.5%). Fetal asphyxia was the most frequent indication for caesarean section (35.7%). Fourteen percent of all indications accounted for the lack of consent from a pregnant woman to make an attempt at spontaneous vaginal delivery after previous c-section. Fifty percent of the women from the study group had a previous caesarean section, whereas 25% had more than one prior c-section. Between 2009-2011, as compared to previous years, the highest percentage of hysterectomies (80%) was reported in pregnant women after a previous caesarean section. The most frequent indication for hysterectomy included abnormal placental implantation (43.75%) diagnosed more often in patients with a history of caesarean section (57%). Among PH complications, a hemorrhagic shock was reported in 37.4% and bladder injury in 18.7% of the women. Every patient required a transfusion of erythrocyte concentrate, 4.7 units [SD+/-3.5] on average. Twenty-five percent of the neonates were born in poor condition with an Apgar score of 1-3. In case of all women, the therapy required cooperation of different specialists including obstetricians, anesthesiologists, urologists, surgeons and general practitioners.
1. Current and previous caesarean section constitutes a risk factor for perinatal hysterectomy 2. Placental pathology is the most frequent indication for perinatal hysterectomy 3. The growing number of caesarean sections should encourage obstetricians to conduct a more careful analysis of indications.</abstract><cop>Poland</cop><pub>Wydawnictwo Via Medica</pub><pmid>24783430</pmid><doi>10.17772/gp/1712</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Apgar Score Cesarean section Cesarean Section - adverse effects Cesarean Section - statistics & numerical data Female Gestational Age Gynecological diseases Gynecology Humans Hysterectomy Hysterectomy - statistics & numerical data Hysterectomy - utilization Infant, Newborn - physiology Maternal Age Obstetrics Perinatal Care - methods Perinatal Care - statistics & numerical data Placenta Diseases - surgery Poland Postoperative Hemorrhage - etiology Pregnancy Pregnancy Outcome Risk Factors Shock, Hemorrhagic - etiology Urinary Bladder - injuries Womens health |
| title | Clinical study of perinatal hysterectomy between 2000-2011 in the clinic of obstetrics, gynecological diseases and oncological gynecology in Bydgoszcz |
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