Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of Practice
Peripartum haemorrhage is an obstetric emergency which requires effective and timely management. A retrospective analysis was conducted at a single centre district hospital, over a 10-year period to describe factors that would lead to a peripartum hysterectomy. We sought to establish intraoperative...
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| Language: | English |
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Wiley
2016-01-01
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| Series: | Scientifica |
| Online Access: | http://dx.doi.org/10.1155/2016/9875343 |
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| author | J. Chester P. Sidhu S. Sharma F. Israfil-Bayli |
| author_facet | J. Chester P. Sidhu S. Sharma F. Israfil-Bayli |
| author_sort | J. Chester |
| collection | DOAJ |
| description | Peripartum haemorrhage is an obstetric emergency which requires effective and timely management. A retrospective analysis was conducted at a single centre district hospital, over a 10-year period to describe factors that would lead to a peripartum hysterectomy. We sought to establish intraoperative and postoperative risks and review outcomes and complications associated with the procedure. A total of 29 cases (incidence 0.8 per 1000) were reviewed over 2001–2011. The mean parity was 1.8 and the mean maternal age was 33 years. Uterine atony was the most common indication for hysterectomy (12/29) followed by placenta praevia and accreta (4/29 and 5/29 cases, resp.). The commonest postoperative complications were sepsis and paralytic ileus. EPH most commonly occurs due to uterine atony but remains difficult to predict. Hospitals should continue to have robust systems and the necessary resources available to perform EPH where clinically indicated. |
| format | Article |
| id | doaj-art-32d50ebe1e894797aa98338e098d9cfe |
| institution | OA Journals |
| issn | 2090-908X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Scientifica |
| spelling | doaj-art-32d50ebe1e894797aa98338e098d9cfe2025-08-20T02:24:22ZengWileyScientifica2090-908X2016-01-01201610.1155/2016/98753439875343Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of PracticeJ. Chester0P. Sidhu1S. Sharma2F. Israfil-Bayli3Sandwell and West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham B18 7QH, UKWalsall Healthcare NHS Trust, Moat Road, Walsall WS2 9PS, UKWalsall Healthcare NHS Trust, Moat Road, Walsall WS2 9PS, UKSandwell and West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham B18 7QH, UKPeripartum haemorrhage is an obstetric emergency which requires effective and timely management. A retrospective analysis was conducted at a single centre district hospital, over a 10-year period to describe factors that would lead to a peripartum hysterectomy. We sought to establish intraoperative and postoperative risks and review outcomes and complications associated with the procedure. A total of 29 cases (incidence 0.8 per 1000) were reviewed over 2001–2011. The mean parity was 1.8 and the mean maternal age was 33 years. Uterine atony was the most common indication for hysterectomy (12/29) followed by placenta praevia and accreta (4/29 and 5/29 cases, resp.). The commonest postoperative complications were sepsis and paralytic ileus. EPH most commonly occurs due to uterine atony but remains difficult to predict. Hospitals should continue to have robust systems and the necessary resources available to perform EPH where clinically indicated.http://dx.doi.org/10.1155/2016/9875343 |
| spellingShingle | J. Chester P. Sidhu S. Sharma F. Israfil-Bayli Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of Practice Scientifica |
| title | Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of Practice |
| title_full | Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of Practice |
| title_fullStr | Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of Practice |
| title_full_unstemmed | Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of Practice |
| title_short | Emergency Peripartum Hysterectomies at a District General Hospital in United Kingdom: 10-Year Review of Practice |
| title_sort | emergency peripartum hysterectomies at a district general hospital in united kingdom 10 year review of practice |
| url | http://dx.doi.org/10.1155/2016/9875343 |
| work_keys_str_mv | AT jchester emergencyperipartumhysterectomiesatadistrictgeneralhospitalinunitedkingdom10yearreviewofpractice AT psidhu emergencyperipartumhysterectomiesatadistrictgeneralhospitalinunitedkingdom10yearreviewofpractice AT ssharma emergencyperipartumhysterectomiesatadistrictgeneralhospitalinunitedkingdom10yearreviewofpractice AT fisrafilbayli emergencyperipartumhysterectomiesatadistrictgeneralhospitalinunitedkingdom10yearreviewofpractice |