Your browser doesn't support javascript.
loading
Peripartum Hysterectomies over a Fifteen-year Period / Histerectomias periparto ao longo de um período de quinze anos
Dorigon, Alessandra; Martins-Costa, Sérgio Hofmeister; Ramos, José Geraldo Lopes.
  • Dorigon, Alessandra; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
  • Martins-Costa, Sérgio Hofmeister; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
  • Ramos, José Geraldo Lopes; Hospital de Clínicas de Porto Alegre. Porto Alegre. BR
Rev. bras. ginecol. obstet ; 43(1): 3-8, Jan. 2021. tab, graf
Article in English | LILACS | ID: biblio-1156082
ABSTRACT
Abstract Objective To determine the indications and outcomes of peripartum hysterectomies performed at Hospital de Clínicas de Porto Alegre (a university hospital in Southern Brazil) during the past 15 years, and to analyze the clinical characteristics of the women submitted to this procedure. Methods A cross-sectional study of 47 peripartum hysterectomies from 2005 to 2019. Results The peripartum hysterectomies performed in our hospital were indicated mainly due to placenta accreta or suspicion thereof (44.7% of the cases), puerperal hemorrhage without placenta accreta (27.7%), and infection (25.5%). Total hysterectomies accounted for 63.8% of the cases, andwefound no differencebetween total versus subtotal hysterectomies in the studied outcomes. Most hysterectomies were performed within 24 hours after delivery, and they were associated with placenta accreta, placenta previa, and older maternal age. Conclusion Most (66.0%) patients were admitted to the intensive care unit (ICU). Those who did not need it were significantly older, and had more placenta accreta, placenta previa, or previous Cesarean delivery.
RESUMO
Resumo Objetivo Determinar as indicações e os desfechos das histerectomias periparto realizadas no Hospital de Clínicas de Porto Alegre nos últimos 15 anos, bem como analisar as características clínicas das mulheres submetidas a esse procedimento. Métodos Estudo transversal de 47 histerectomias periparto realizadas no período de 2005 a 2019. Resultados Em nosso hospital, as histerectomias periparto foram indicadas principalmente por acretismo placentário ou sua suspeita (44,7% dos casos), hemorragia puerperal sem acretismo placentário (27,7%), e infecção (25,5%). Histerectomias totais corresponderam a 63,8% dos casos, e não encontramos diferença entre histerectomia total e subtotal para os desfechos estudados. Amaioria das histerectomias foi realizada dentro de 24 horas após o parto, o que estava associado a acretismo placentário, placenta prévia, e idade materna mais avançada. Conclusão A maioria (66,0%) das mulheres necessitou de internação em unidade de terapia intensiva (UTI); aquelas que não necessitaram eram significativamente mais velhas, e tinham mais acretismo placentário, placenta prévia, ou cesárea prévia.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Prenatal Care / Postpartum Hemorrhage / Hysterectomy Type of study: Etiology study / Incidence study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Pregnancy Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital de Clínicas de Porto Alegre/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Prenatal Care / Postpartum Hemorrhage / Hysterectomy Type of study: Etiology study / Incidence study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Pregnancy Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital de Clínicas de Porto Alegre/BR