Resumen

VANEGAS ESTRADA, Rafael Orestes; SOTOLONGO FALERO, Avelina; SUAREZ REYES, Ana María  y  MUNIZ RIZO, Milagros. Emergency obstetric hysterectomy. Rev Cubana Obstet Ginecol [online]. 2009, vol.35, n.3. ISSN 0138-600X.

Obstetric hysterectomy is defined like the uterus removal after an obstetric event, a last effort in case of failure of conservative or non-applicable measures. Its incidence and causes are not completely comparable according to the diverse published results. OBJECTIVE: to determine the incidence, clinical features, causes and complications of emergency obstetric hysterectomy in patients seen in Gynecology and Obstetric Service of Maternal and Teaching Hospital of Guanabacoa municipality from 1984 to 2008. METHODS: we made a longitudinal, retrospective and descriptive study to know behavior of some mother's variables related to obstetric hysterectomy in patients seen in this service. RESULTS: from a total of 69 992 births, 62 451 miscarriages, and 384 ectopic pregnancies, we made 281 obstetric hysterectomies for an incidence of 0,2%. Main obstetric features included: aged older than 34, a prior delivery, term pregnancy, and backgrounds of cesarean section. This latter increased the risk in 6,7 times to suffer a hysterectomy in relation to a vaginal delivery. More frequent diagnosis was the hemorrhage for a 42,3%. Twenty one patients were referred to Intensive Therapy Service. In postoperative morbidity there was a predominance of surgical wound complications and anemia. Mortality reached in a 3,6%. CONCLUSIONS: obstetric hysterectomy rate during peripartum period is high, associated with cesarean section like a relative greater risk factor, not only subject to bleeding although it is the main indication.

Palabras clave : Obstetric hysterectomy; cesarean section; hemorrhage.

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