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Am J Obstet Gynecol. 2007 Aug;197(2):154.e1-5.

Planned vs emergent cesarean hysterectomy.

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  • 1Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS, USA.

Abstract

OBJECTIVE:

The aim of this study was to compare operative and postpartum outcomes between planned and emergent cesarean hysterectomy.

STUDY DESIGN:

In this multicenter retrospective review over a 5-year period, 65 cases of cesarean hysterectomy (30 planned vs 35 emergent) were identified. Demographic, operative, and postoperative data were extracted and stratified by group (planned vs emergent).

RESULTS:

Patients who underwent an emergent cesarean hysterectomy were more likely to have higher estimated blood loss (2597.1 +/- 1369.4 mL vs 1963.3 +/- 1180.2 mL; P = .05), have transfusion (66% vs 33%; P = .02), and require greater quantities of packed red blood cells (4.49 +/- 4.7 x10(12)/L vs 1.6 +/- 3.1 x10(12)/L; P = .006) compared with the planned cesarean hysterectomy group. Patients who underwent emergent cesarean hysterectomy had higher overall complication rates (37% vs 66%; P = .03) and more intensive care unit admissions (7% vs 29%; P = .03).

CONCLUSION:

After planned cesarean hysterectomy, patients had a significantly lower rate of blood loss, less need for blood transfusions, and fewer complications compared with patients who underwent an emergent cesarean hysterectomy.

PMID:
17689631
[PubMed - indexed for MEDLINE]
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