Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital
Objectives: To evaluate incidence, risk factors and complications of cesarean hysterectomy Materials and Methods: This was a retrospective case-control study. The study cases included 80 pregnant women with cesarean hysterectomy at Maharat Nakhon Ratchasima Hospital from January 1st, 2010 to Dece...
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| Format: | Article |
| Language: | English |
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The Royal Thai College of Obstetricians and Gynaecologists
2017-09-01
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| Series: | Thai Journal of Obstetrics and Gynaecology |
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| Online Access: | https://tci-thaijo.org/index.php/tjog/article/download/63787/82944/ |
| _version_ | 1811261672548990976 |
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| author | Krittiya Dankhonsakul Oraphan Aswakul |
| author_facet | Krittiya Dankhonsakul Oraphan Aswakul |
| author_sort | Krittiya Dankhonsakul |
| collection | DOAJ |
| description | Objectives: To evaluate incidence, risk factors and complications of cesarean hysterectomy Materials and Methods: This was a retrospective case-control study. The study cases included 80 pregnant women with cesarean hysterectomy at Maharat Nakhon Ratchasima Hospital from January 1st, 2010 to December 31st, 2015. The controls referred to 320 pregnant women who underwent cesarean section at the closest time before and after the study cases. The medical records were collected and analyzed. Multivariate logistic regression analysis was performed to identify risk factors.Results: During the study period, there were 50,729 deliveries and 80 pregnant women with cesarean hysterectomy (1.58:1,000). The statistically significant risk factors for cesarean hysterectomy were placenta adherent (adjusted odds ratios (AOR) 120.91, 95% confidence interval (95% CI 22.05-1653.22), uterine atony (AOR 26.77, 95% CI 5.64-127.07), placenta previa (AOR 19.15, 95% CI 5.74-63.92), the tearing of lower uterine segment (AOR 14.92, 95% CI 4.92-45.29), multigravida (AOR 4.84, 95% CI 1.65-14.20) and emergency cesarean section (AOR 3.98, 95% CI 1.26-12.58). Hypovolemia, disseminated intravascular coagulation, postoperative fever and bladder injury were significant common complications.Conclusion: Placenta adherent, uterine atony, placenta previa, the tearing of lower uterine segment, multigravida and emergency cesarean section were identified as significant risk factors for cesarean hysterectomy. |
| first_indexed | 2024-04-12T19:09:54Z |
| format | Article |
| id | doaj.art-29ab89df740a49909d52940e1933edd0 |
| institution | Directory Open Access Journal |
| issn | 0857-6084 0857-6084 |
| language | English |
| last_indexed | 2024-04-12T19:09:54Z |
| publishDate | 2017-09-01 |
| publisher | The Royal Thai College of Obstetricians and Gynaecologists |
| record_format | Article |
| series | Thai Journal of Obstetrics and Gynaecology |
| spelling | doaj.art-29ab89df740a49909d52940e1933edd02022-12-22T03:19:55ZengThe Royal Thai College of Obstetricians and GynaecologistsThai Journal of Obstetrics and Gynaecology0857-60840857-60842017-09-01253191198https://doi.org/10.14456/tjog.2017.27Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima HospitalKrittiya Dankhonsakul0Oraphan Aswakul1Department of Obstetrics and Gynecology, Faculty of Medicine, Maharat Nakhon Ratchasima Hospital, Nakhonratchasima 30000, ThailandDepartment of Obstetrics and Gynecology, Faculty of Medicine, Maharat Nakhon Ratchasima Hospital, Nakhonratchasima 30000, ThailandObjectives: To evaluate incidence, risk factors and complications of cesarean hysterectomy Materials and Methods: This was a retrospective case-control study. The study cases included 80 pregnant women with cesarean hysterectomy at Maharat Nakhon Ratchasima Hospital from January 1st, 2010 to December 31st, 2015. The controls referred to 320 pregnant women who underwent cesarean section at the closest time before and after the study cases. The medical records were collected and analyzed. Multivariate logistic regression analysis was performed to identify risk factors.Results: During the study period, there were 50,729 deliveries and 80 pregnant women with cesarean hysterectomy (1.58:1,000). The statistically significant risk factors for cesarean hysterectomy were placenta adherent (adjusted odds ratios (AOR) 120.91, 95% confidence interval (95% CI 22.05-1653.22), uterine atony (AOR 26.77, 95% CI 5.64-127.07), placenta previa (AOR 19.15, 95% CI 5.74-63.92), the tearing of lower uterine segment (AOR 14.92, 95% CI 4.92-45.29), multigravida (AOR 4.84, 95% CI 1.65-14.20) and emergency cesarean section (AOR 3.98, 95% CI 1.26-12.58). Hypovolemia, disseminated intravascular coagulation, postoperative fever and bladder injury were significant common complications.Conclusion: Placenta adherent, uterine atony, placenta previa, the tearing of lower uterine segment, multigravida and emergency cesarean section were identified as significant risk factors for cesarean hysterectomy.https://tci-thaijo.org/index.php/tjog/article/download/63787/82944/cesarean hysterectomyincidencerisk factorscomplicationsplacental adherentplacenta previauterine atony |
| spellingShingle | Krittiya Dankhonsakul Oraphan Aswakul Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital Thai Journal of Obstetrics and Gynaecology cesarean hysterectomy incidence risk factors complications placental adherent placenta previa uterine atony |
| title | Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital |
| title_full | Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital |
| title_fullStr | Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital |
| title_full_unstemmed | Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital |
| title_short | Risk Factors for Cesarean Hysterectomy at Maharat Nakhon Ratchasima Hospital |
| title_sort | risk factors for cesarean hysterectomy at maharat nakhon ratchasima hospital |
| topic | cesarean hysterectomy incidence risk factors complications placental adherent placenta previa uterine atony |
| url | https://tci-thaijo.org/index.php/tjog/article/download/63787/82944/ |
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