Emergency hysterectomy in obstetric practice: five year review

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Abstract

From January 1980 to December 1984, there were 86,483 deliveries and 25 emergency obstetric hysterectomies at the Maternity Hospital, Kuwait. The indications for hysterectomy were placental disorders (64%), uterine rupture (28%), and extension of the lower uterine scar during cesarean section (8%). The incidence of emergency hysterectomy increased with age and parity. Postoperative morbidity was higher with subtotal than with total hysterectomy. The commonest post-operative complication was urinary tract infection. There was one maternal death from consumptive coagulopathy associated with intra-uterine fetal death.


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