RESUMO
Emergency pericardium hysterectomy [EPH] is one of the most major life saving procedures in obstetrics performed to arrest bleeding associated with the uterine incision or placental implantation, or a laceration of major uterine vessels .placenta accrete, often in association with repeat cesarean delivery, and uterine atony are the most common indications today for cesarean or postpartum hysterectomy. The aim of this study is to determine the incidence, indication, risk factor and complication associated with emergency peripartum hysterectomy [EPH]. This study retrospectively including A review of medical record was undertaken on all cases of EPH that were performed at women's hospital in Doha-Qatar during period from 1st January 2000 to the end of December 2008. Study included maternal age, gravidity, parity, gestational age, previous obstetric history and medical history were recorded, indication and types of hysterectomy, complication of operation, pre and post operative value of hemoglobin, blood transfusion, duration of hospital stay, post operative complication and maternal morbidity and mortality. During the study period there were 115, 025 deliveries and, out of those, only 23 cases of EPH were performed. The overall incidence was 0.2 per 1,000 deliveries. The study covered 22 cases and one file was missed. There were 19 cases of multiparous and three cases of nuliparous women. The mean age of patients was [33 +/- 4.7 years][range27-42], the median parity was 4 [range 0-10] and the mean gestational age was [35 +/- 3.4] weeks [27-41], 22 cases were delivered by cesarean section ,19 cases [86.3%] were due to previous cesarean section and 3 [13.7%] were primary cesarean section. All patients required blood transfusion. Abnormal placentation due to repeated cesarean section was the main cause of EPH. In conclusion EPH is a life saving operation and it should be performed by an experienced obstetrician before patient's condition becomes extreme