Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Hasra K Snaggs, Kecia Gaither and Alonzo Sherman
Scientific Tracks Abstracts: Gynecol Obstet (Sunnyvale)
Methods: A retrospective review of pregnant patients that presented BHMC who underwent a cesarean hysterectomy between 2006 and 2012. Data was collected from inpatient clinic charts. Maternal characteristic, intrapartum characteristics and postoperative complications were analyzed. Results: Thirty women were identified that underwent cesarean hysterectomy. Median age was 30, women with high parity (3 or greater), gestational age of 35 weeks, African American descent, Obese (BMI 32.5) were noted. Sixty three percent of the women had prior at least one prior cesarean. The most common pre-operative indications for a cesarean hysterectomy were atony (37%), placenta accreta (30%), other (20%). All women required transfusion and 30% required ICU admission postoperatively. Conclusion: There is increased risk of cesarean hysterectomy with prior cesarean. There was an increased prevalence of obesity and preterm labor, resulting in early delivery. Our findings have resulted in several key changes within our department to decrease the morbidity and mortality related to peripartum hysterectomy, inclusive of interdisciplinary preoperative counseling, initiation of hemorrhage protocol/drills, and a rapid operative response team, results which have served to decrease adverse perinatal outcomes in our institution.