Abstract

NODARSE RODRIGUEZ, Alfredo et al. Epidemiological behavior of obstetric hysterectomy. Rev Cubana Obstet Ginecol [online]. 2013, vol.39, n.2, pp. 128-134. ISSN 0138-600X.

Introduction: obstetric hysterectomy is a surgical drastic measure performed in those patients who do not respond to other procedures, in case of severe bleeding after childbirth or caesarean. Objectives: to characterize the distribution of a set of variables in pregnant women requiring obstetric postpartum hysterectomy, to describe their clinical and obstetric characteristics and to identify key epidemiological variables relating to peri-delivery and delivery. Methods: a descriptive, retrospective study was conducted in 19 pregnant women who underwent obstetric hysterectomy for various reasons at the delivery service in Ramón González Coro Hospital, from 1st January 2009 to 31 December 2010. A database created through Microsoft Excel System 2007 was used. The study was conducted in accordance with existing regulations and ethical principles for human research and clinical studies. Results: uterine myoma was observed in 26.3 %, and it was predominant in patients with early cesarean in 42.1 %, 31.6 % were nulliparous, 66.7 % was caused by uterine atony and the use prostaglandin was necessary in 31.6 % of cases. Conclusions: complications associated with cesarean section and uterine atonies remain the root causes of obstetric hysterectomy indication.

Keywords : obstetric hysterectomy; critical maternal patient; sluggish; cesarean delivery; postpartum hemorrhage.

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