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First published on 22 October 2009
Trop Doct
doi:td.2009.090084
© 2009 Royal Society of Medicine Press

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Article

Emergency peripartum hysterectomy in a tertiary hospital in Lagos, Nigeria: a five-year review

K A Rabiu FWACS FMCOG      F M Akinlusi MBChB     A A Adewunmi FWACS FICS     O I Akinola FWACS FICS  

Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, PMB 21005, Ikeja, Lagos, Nigeria

Correspondence to: K A Rabiu, Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, PMB 21005, Ikeja, Lagos, Nigeria Email: derabs{at}yahoo.co.uk

This was a retrospective descriptive study of all the patients who underwent emergency peripartum hysterectomy from January 1st 2003 to December 31st 2007 at the Lagos State University Teaching Hospital. Of the 15,067 deliveries during the study period, 57 patients had emergency peripartum hysterectomy (3.78/1000 deliveries). 19.3% of these patients were booked for antenatal care in the hospital, while 80.7% were unbooked. The mean age of patients was 32.7 years (SD = 5.5) and the mean parity was 3.08 (SD = 1.9). The major indications for emergency peripartum hysterectomy were ruptured uterus (77.2%), uterine atony (10.5%), abruptio placentae (3.5%) and sepsis (3.5%). Subtotal hysterectomy was performed in 96.5% of the cases. The maternal mortality was 19.3% and the perinatal mortality was 75.4%. The incidence of emergency peripartum hysterectomy in this study is high and the major indication is ruptured uterus. It is associated with high maternal and perinatal morbidity and mortality.


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