Evaluation of Epidemiology and Etiology of Cesarean Hystrectomy

Background & Objective: Cesarean hysterectomy is a major surgical risk happening in the setting of life threatening hemorrhagic events during or immediately after the cesarean section. In this study we assessed patients undergoing cesarean hysterectomy to determine their general and clinical characteristics. Materials & Methods: In this descriptive cross-sectional study, 34 consecutive patients undergoing cesarean hysterectomy in training hospitals in Tehran, Iran, from 2016 to 2017 were enrolled. The age, BMI, gravid, parity, Apgar score, risk factors, chief complaints, drug history, and previous medical and surgical history were assessed and finally the preventability rate was determined. Results: The chief complaint was vaginal leak (VL), abnormal uterine bleeding (AUB), labor pain, and preeclampsia in 38.2%, 29.4%, 14.7%, and 2.9% of patients respectively, and the other patients had more than one complaint. Type of surgery was total, and supra-cervical in 58.8%, 41.2% of patients respectively. Bladder injury occurred in 41.2% of patients. Two cases were preventable, one was non-preventable, and all others were mixed. Conclusion:  It may be concluded that the general characteristics among our patients undergoing cesarean hysterectomy is similar to those reported by similar studies. However further studies with larger sample size and multi-center sampling among Iranian patients are needed to develop more definite results.

Keywords:

Cesarean Hysterectomy , Epidemiology , Etiology