Abstract

SAEZ CANTERO, Viviana  and  DAUDINOT COS, Carlos E.. A five-year analysis in the emergence obstetric hysterectomy. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.2, pp. 21-31. ISSN 0138-600X.

Emergence obstetric hysterectomy (EOH), carried out in cases of severe and uncontrollable obstetric hemorrhage is related to a significant maternal morbidity. A cross-sectional and descriptive study was conducted in "Enrique Cabrera" Teaching General Hospital to characterize the obstetric patients underwent an emergence hysterectomy and to identify the indications and morbidity and mortality associated to procedure. Sample included all the hysterectomy puerperants during 2002-2006. From medical records it was possible to collect the sociodemographic, obstetric data and those related to prescription of hysterectomy, technique and complications. Frequency distribution and other descriptive statistic techniques were used by statistical processor for Windows, SPSS version 13. The 47% of EOHs was in women aged over 30, the 44% of patients were primipara, uterine atomy was the indication in the 48% of cases; morbidity included polytransfusion (80%) and disseminated intravascular coagulation (45.4%). We conclude that mother aged over 30 predominates among hysterectomy patients, that hemorrhagic events were the first indication for EOH and mainly the uterine atony and that procedure was associated with a high maternal morbidity.

Keywords : Obstetric hysterectomy; emergence indications; morbidity and mortality.

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