Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa

Authors

  • Sündüz Özlem Altınkaya 1Adnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, Aydın
  • Sümeyra Nergiz Adnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, Aydın
  • Metin Güldaş Adnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, Aydın
  • Selda Demircan Sezer Adnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, Aydın
  • Hasan Yüksel Adnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, Aydın

Keywords:

Placenta previa, Peripartum, Hysterectomy

Abstract

OBJECTIVE: The aim of the present study was to identify the antepartum risk factors for peripartum hysterectomy in women with placenta previa.
STUDY DESIGN: The medical records of 57 women, who underwent cesarean because of placenta previa during the period January 2006-January 2013, were reviewed retrospectively. Antepartum characteristics of women who did and did not undergo peripartum hysterectomy were compared.
RESULTS: Among the 57 cases with placenta previa, peripartum hysterectomy was required in 6 (10.5%) women. A statistically increased risk emerged for a history of repeated cesarean delivery (p=0.045), placental adhesive disorders (p<0.001), and an estimated blood loss ≥2000 ml (p<0.001).
CONCLUSION: The present study confirmed placenta previa is a condition for a substantial risk of peripartum emergent hysterectomy. An increasing number that of previous cesareans, placental adhesive disorders and blood loss ≥2000 ml were found to be associated with the risk. Antepartum evaluation of adhesive disorders with imaging studies may play a crucial role in predicting hysterectomy in these
cases.

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Published

2014-04-30

How to Cite

1.
Altınkaya S Özlem, Nergiz S, Güldaş M, Demircan Sezer S, Yüksel H. Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa. Gynecol Obstet Reprod Med [Internet]. 2014Apr.30 [cited 2024Dec.22];20(1):24-8. Available from: https://gorm.com.tr/index.php/GORM/article/view/125

Issue

Vol. 20 No. 1 (2014)

Section

Obstetrics; Maternal Fetal Medicine and Perinatology

License

Copyright (c) 2014 Sündüz Özlem Altınkaya, Sümeyra Nergiz, Metin Güldaş, Selda Demircan Sezer, Hasan Yüksel

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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