Páez AJA, Nava FJ, Basavilvazo RA, Ángeles VL, Hernández-Valencia M

Language: Spanish
References: 12
Page: 211-215
PDF size: 58.31 Kb.

ABSTRACT

Many dysfunctions related to emergency indication of postpartum hysterectomy have been identified; among which profuse bleeding has been essentially found. But it also exist other causes associated to hemorrhages that condition dysfunctions in uterine contraction and avoid the effect of the implemented therapy, with an increase in maternal-fetal morbidity. In a one-year period, every women needing obstetric hysterectomy were recorded. They entered the Hospital of Gynecology and Obstetrics number 3 from the “La Raza” Medical Center. Other causes associated to surgical indication were studied and sought. The patients’ age ranged from 20 to 41 years. Forty one hysterectomies were performed, but only 25 of them presented other associated dysfunctions where the premature membrane ruptures had a frequency of 32%, the severe preeclampsia was of 20%, and the uterine myomatosis was of 16%. meanwhile other 8 pathologies associated to obstetric complications were present in a case from one of each recorded dysfunction. The stay in hospital mean was 2.5 ± 0.2 (± DE) pre-surgical days and of 8.5 ± 0.3 postoperative days. The abnormalities pointed out in this study include organic dysfunctions as myomatosis, the effect of myomectomy, hydrocephaly, uterine perforation, bicorne uterus, membrane premature rupture, as well as functional abnormalities such as severe preeclampsia, maternal obesity, pregnancy with IUD, maternal cysticercoids and cardiopathy caused by mitral lesion. Apgar of those newly-born babies up to term, it showed a low qualification at the first minute, with good recovery in most of the cases. The influence of this pathology may be due to the abnormalities that occur in the uterine wall and as a consequence of the involution processes that should be present after the delivery of the conception product. These dysfunctions associated to pregnancy should be taken into account as risk factors when this obstetric complication occurs, with the purpose of implementing preventive actions in order to avoid this surgical procedure in some way.

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