Revista Cubana de Obstetricia y Ginecología
version ISSN 0138-600X
AGUILAR PONCE, Susan; SAFORA ENRIQUEZ, Omayda and RODRIGUEZ IZQUIERDO, Aldo. The obstetric hysterectomy as a prevailing problem. Rev Cubana Obstet Ginecol [online]. 2012, vol.38, n.1, pp. 107-116. ISSN 0138-600X.
Introduction: the obstetric hysterectomy is the partial or total resection of uterus, performed generally of emergency due to the pregnancy, delivery or puerperium complications or by a prior disease. Objective: to determine the incidence and the major causes leading to intervention and its relation to some obstetric factors. Methods: a longitudinal, retrospective, descriptive and observational study was conducted in all patients underwent obstetric hysterectomy in the "América Arias" University Hospital from January, 2004 to December, 2009. All medical records were reviewed, the service registry of the operating room, the obstetrics cards and the registry of the pathological anatomy. Results: a total of 96 obstetric hysterectomies were performed for a rate of 4,9 per 1000 born and an average of 16 hysterectomies per year. The main indications were hemorrhage and sepsis. The predominant age group in relation to total of births was of ≥ 35 years and in this group the hemorrhage was the more frequent indication and the obstetric backgrounds of ≥ 3 pregnancies. The termination of pregnancy by cesarean section was a relevant factor. Anemia was the commonest complication. Conclusion: incidence remains in figures similar to prior five-year period thus this is a health problem for our Institution.
Keywords : obstetric hysterectomy; obstetric backgrounds; post-section operation complications or delivery.