Peripartum Hysterectomies at the Korle-Bu Teaching Hospital: A Review of 182 Consecutive Cases

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dc.contributor.authorKwame-Aryee, R.A.
dc.contributor.authorKwakye, A.K.
dc.contributor.authorSeffah, J.D.
dc.date.accessioned2019-10-14T14:43:01Z
dc.date.available2019-10-14T14:43:01Z
dc.date.issued2007-09
dc.descriptionJournal Articleen_US
dc.description.abstractObjectives: The main objectives of this study were to determine the incidence, maternal characteristics, indications, the maternal and perinatal outcomes and the complications of emergency peripartum hysterectomies done at the Korle-Bu Teaching Hospital. Study design: This is a retrospective descriptive study covering the period January 1, 2000 to June 30, 2003. Setting: Maternity Unit of the Korle-Bu Teaching Hospital Results: The incidence of peripartum hysterectomy 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.en_US
dc.identifier.urihttp://www.ghanamedj.org/articles/September2007/Peripartum%20hysterectomy.pdf
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/32719
dc.language.isoenen_US
dc.publisherGhana Medical Journalen_US
dc.relation.ispartofseries41;3
dc.subjectPeripartumen_US
dc.subjecthysterectomyen_US
dc.subjectuterine ruptureen_US
dc.subjectuterine atonyen_US
dc.subjectmaternal morbidityen_US
dc.subjectmaternal mortalityen_US
dc.titlePeripartum Hysterectomies at the Korle-Bu Teaching Hospital: A Review of 182 Consecutive Casesen_US
dc.typeArticleen_US

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