Emergency Peripartum Hysterectomy: A Multicenter Study of Incidence, Indications and Outcomes in Southwestern Nigeria

Objective To determine the incidence, indications and outcomes of emergency peripartum hysterectomy (EPH) in three tertiary institutions in south-west Nigeria between January, 2010 and December , 2013. Methods A retrospective review of all cases of EPH over a 4 year period was done. EPH was defined...

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Veröffentlicht in:	Maternal and child health journal 2016-06, Vol.20 (6), p.1230-1236
Hauptverfasser:	Akintayo, A. A., Olagbuji, B. N., Aderoba, A. K., Akadiri, O., Olofinbiyi, B. A., Bakare, B.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Blood products Cesarean section Cesarean Section - adverse effects Cesarean Section - statistics & numerical data Childbirth & labor Delivery, Obstetric - statistics & numerical data Education Emergency Treatment - statistics & numerical data Ethics Female Gestational age Gynecology Health facilities Hemorrhage Hospitals, Teaching Humans Hysterectomy Hysterectomy - adverse effects Hysterectomy - statistics & numerical data Incidence Laparotomy Management Maternal and Child Health Maternal health services Maternal Mortality Medicine Medicine & Public Health Morbidity Mortality Nigeria - epidemiology Obstetric Labor Complications - mortality Obstetric Labor Complications - surgery Obstetrical nursing Obstetrics Patient outcomes Pediatrics Perinatal Mortality Peripartum Period Placenta Placenta Previa - mortality Placenta Previa - surgery Placentation Population Economics Postoperative Complications Pregnancy Pregnancy Outcome Prenatal care Public Health Regression analysis Retrospective Studies Sociology Statistical analysis Teaching hospitals Uterine Inertia - mortality Uterine Inertia - surgery Uterine Rupture - mortality Uterine Rupture - surgery Vagina Variables Womens health Young Adult
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Beschreibung
Zusammenfassung:	Objective To determine the incidence, indications and outcomes of emergency peripartum hysterectomy (EPH) in three tertiary institutions in south-west Nigeria between January, 2010 and December , 2013. Methods A retrospective review of all cases of EPH over a 4 year period was done. EPH was defined as hysterectomy performed at the time of delivery or within 24 h of delivery for uncontrollable postpartum bleeding not responsive to conservative measures. Relevant information was extracted from the hospital records and operation notes. Statistical analysis was done using SPSS software version 17.0. Statistical significance was set at p
ISSN:	1092-7875 1573-6628
DOI:	10.1007/s10995-016-1924-1