The Rate of Peripartum Hysterectomy on G.O.C. Pristine During 2014

Abstract

The primary objective of this study was to determine rate of peripartum hysterectomy during 2014 in Gynecology and Obstetrics Clinic/University Clinical Center of Kosovo. Also, were explored and other components such as: maternal age, causes of peripartum hysterectomy, method of birth, type of hysterectomy etc. We conducted a retrospective analysis of all cases of peripartum hysterectomy performed at Obstetrics and Gynecology Clinic/University Clinical Center of Kosovo, between January 1, 2014, and December 31, 2014. The population studied comprised of women aged 25-49 years who had a hysterectomy during 2014. Maternal characteristics such as age, parity (multiparous, primiparous women), previous cesarean delivery, history of antepartum bleeding, and mode of delivery were recorded. Are also recorded and: the indication for surgery, type of hysterectomy, by type of incision etc. Statistical analysis was performed using the computer programs for statistics. Sum tests were used to compare differences in categoric variables. Number of all women who had births with caesarean section was used to compute rates for this study. Coefficient corelation was used to detect trends how number women that had birth with repeat cesarean section (that in itself is a predisposing factor for placenta accreta), had a increasing trends of peripartum hysterectomy.

The results of this study shows that during 2014 in Obstetrics and Gynecology Clinic in Pristine had 3375 births by caesarean section, where 11 women lost their uterus because of uncontrolled hemorrhage, which does not respond to conservative measures.

The rate of peripartum hysterectomy for year 2014 in G.O.C- Pristine was 3.2 per 1000 deliveries. (dF= 10,