Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care Hospital
Aim: To retrospectively evaluate patients with postpartum hemorrhage (PPH) and to report the incidence, indication, and complications of PPH-related hysterectomies. Methods: We evaluated medical records of patients who received the diagnosis of in a university-affiliated tertiary care hospital...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2016-03-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/article_10371/Evaluation-Of-Patients-With-Postpartum-Hemorrhage-Patients-In-A-University-affiliated-Tertiary-Care-Hospital |
| _version_ | 1797922702741209088 |
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| author | Burcu Kasap Eren Akbaba Gökalp Öner |
| author_facet | Burcu Kasap Eren Akbaba Gökalp Öner |
| author_sort | Burcu Kasap |
| collection | DOAJ |
| description | Aim: To retrospectively evaluate patients with postpartum
hemorrhage (PPH) and to report the incidence, indication, and
complications of PPH-related hysterectomies.
Methods: We evaluated medical records of patients who received
the diagnosis of in a university-affiliated tertiary care hospital
between February 2013 and September 2014.
Results: A total of 1724 deliveries were included in the study. 36
deliveries (2.08%) were complicated with PPH. PPH was found
to result from the following conditions; uterine atony (n=19),
placenta previa (n=8), vaginal lacerations (n=7), and coagulation
disorders (n=2). A total of 7 patients (19.4%) with PPH, of whom
two had uterine atony and five had placenta previa, underwent
hysterectomy (4.06 per 1000 births). Application of B-Lynch
uterine compression suturing and hypogastric artery ligation did
not stop PPH in two patients with atony after primary caesarean
section. Balloon tamponade was successful in 71.4% of patients
with placenta previa. The most common complication among
hysterectomy patients was admission to intensive care unit.
Conclusion: Despite the improvements in conservative
management strategies, our hysterectomy rate was higher than
the reported literature. We conclude that management options
should be individualized according to diagnosis, hemodynamic
stability of patients and also facilities of the medical centre. |
| first_indexed | 2024-04-10T14:35:28Z |
| format | Article |
| id | doaj.art-ef019e21539e44cf953450d331ad7d2c |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T14:35:28Z |
| publishDate | 2016-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-ef019e21539e44cf953450d331ad7d2c2023-02-15T16:08:36ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882016-03-01541131810.4274/haseki.2668Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care HospitalBurcu Kasap0Eren Akbaba1Gökalp Öner2Sıtkı Koçman University Faculty of Medicine, Department of Obstetrics and Gynecology, Muğla, TurkeySıtkı Koçman University Faculty of Medicine, Department of Obstetrics and Gynecology, Muğla, TurkeySıtkı Koçman University Faculty of Medicine, Department of Obstetrics and Gynecology, Muğla, TurkeyAim: To retrospectively evaluate patients with postpartum hemorrhage (PPH) and to report the incidence, indication, and complications of PPH-related hysterectomies. Methods: We evaluated medical records of patients who received the diagnosis of in a university-affiliated tertiary care hospital between February 2013 and September 2014. Results: A total of 1724 deliveries were included in the study. 36 deliveries (2.08%) were complicated with PPH. PPH was found to result from the following conditions; uterine atony (n=19), placenta previa (n=8), vaginal lacerations (n=7), and coagulation disorders (n=2). A total of 7 patients (19.4%) with PPH, of whom two had uterine atony and five had placenta previa, underwent hysterectomy (4.06 per 1000 births). Application of B-Lynch uterine compression suturing and hypogastric artery ligation did not stop PPH in two patients with atony after primary caesarean section. Balloon tamponade was successful in 71.4% of patients with placenta previa. The most common complication among hysterectomy patients was admission to intensive care unit. Conclusion: Despite the improvements in conservative management strategies, our hysterectomy rate was higher than the reported literature. We conclude that management options should be individualized according to diagnosis, hemodynamic stability of patients and also facilities of the medical centre.http://www.hasekidergisi.com/article_10371/Evaluation-Of-Patients-With-Postpartum-Hemorrhage-Patients-In-A-University-affiliated-Tertiary-Care-HospitalUterine atonyhysterectomyplacenta previapostpartum hemorrhage |
| spellingShingle | Burcu Kasap Eren Akbaba Gökalp Öner Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care Hospital Haseki Tıp Bülteni Uterine atony hysterectomy placenta previa postpartum hemorrhage |
| title | Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care Hospital |
| title_full | Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care Hospital |
| title_fullStr | Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care Hospital |
| title_full_unstemmed | Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care Hospital |
| title_short | Evaluation of Patients with Postpartum Hemorrhage Patients in a University-Affiliated Tertiary Care Hospital |
| title_sort | evaluation of patients with postpartum hemorrhage patients in a university affiliated tertiary care hospital |
| topic | Uterine atony hysterectomy placenta previa postpartum hemorrhage |
| url | http://www.hasekidergisi.com/article_10371/Evaluation-Of-Patients-With-Postpartum-Hemorrhage-Patients-In-A-University-affiliated-Tertiary-Care-Hospital |
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