Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa

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...

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Main Authors: Sündüz Özlem Altınkaya, Sümeyra Nergiz, Metin Güldaş, Selda Demircan Sezer, Hasan Yüksel
Format: Article
Language:English
Published: Medical Network 2014-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/125
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author Sündüz Özlem Altınkaya
Sümeyra Nergiz
Metin Güldaş
Selda Demircan Sezer
Hasan Yüksel
author_facet Sündüz Özlem Altınkaya
Sümeyra Nergiz
Metin Güldaş
Selda Demircan Sezer
Hasan Yüksel
author_sort Sündüz Özlem Altınkaya
collection DOAJ
description 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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institution Kabale University
issn 1300-4751
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language English
publishDate 2014-04-01
publisher Medical Network
record_format Article
series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-443ba9daa586480eb9e6f6119ea09d342025-02-11T21:23:12ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182014-04-0120167Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta PreviaSündüz Özlem Altınkaya0Sümeyra Nergiz1Metin Güldaş2Selda Demircan Sezer3Hasan Yüksel41Adnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, AydınAdnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, AydınAdnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, AydınAdnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, AydınAdnan Menderes University Faculty of Medicine Department of Gynecology & Obstetrics, Aydın 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. https://gorm.com.tr/index.php/GORM/article/view/125Placenta previaPeripartumHysterectomy
spellingShingle Sündüz Özlem Altınkaya
Sümeyra Nergiz
Metin Güldaş
Selda Demircan Sezer
Hasan Yüksel
Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa
Gynecology Obstetrics & Reproductive Medicine
Placenta previa
Peripartum
Hysterectomy
title Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa
title_full Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa
title_fullStr Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa
title_full_unstemmed Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa
title_short Antepartum Risk Factors for Peripartum Hysterectomy in Women with Placenta Previa
title_sort antepartum risk factors for peripartum hysterectomy in women with placenta previa
topic Placenta previa
Peripartum
Hysterectomy
url https://gorm.com.tr/index.php/GORM/article/view/125
work_keys_str_mv AT sunduzozlemaltınkaya antepartumriskfactorsforperipartumhysterectomyinwomenwithplacentaprevia
AT sumeyranergiz antepartumriskfactorsforperipartumhysterectomyinwomenwithplacentaprevia
AT metinguldas antepartumriskfactorsforperipartumhysterectomyinwomenwithplacentaprevia
AT seldademircansezer antepartumriskfactorsforperipartumhysterectomyinwomenwithplacentaprevia
AT hasanyuksel antepartumriskfactorsforperipartumhysterectomyinwomenwithplacentaprevia