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Peripartum hysterectomies at the korle-bu teaching hospital: a review of 182 consecutive cases
Abstract
during the study period was 4.34/1000 deliveries. The main indication was severe uterine bleeding from uterine rupture 89 (48.9%), uterine
atony 60 (33%), placenta accreta 20 (11%) and post caesarean uterine wound sepsis and necrosis 11 (6%). The average blood loss was 2.02 (SD 0.86) L and all patients received blood transfusion. The mean age of the patients was 31.6 (SD 5.3) years and the mean parity was 2.7 (SD 1.7). Complications occurred in 28 (19.8%) patients.
The stillbirth rate was 483.5/1000 deliveries and the maternal mortality was 12.9%. The average duration of hospital stay was 11 (SD 8) days. Conclusions: The incidence of emergency peripartum
hysterectomy is high. It is performed for young nulliparous women through to elderly grand-multiparous women. The surgery is associated
with significant maternal and perinatal morbidity and mortality. Timely expert management in a well resourced centre is advocated.
