PHẪU THUẬT CẮT TỬ CUNG CẤP CỨU DO BĂNG HUYẾT SAU SINH NGÃ ÂM ĐẠO NẶNG TẠI BỆNH VIỆN TỪ DŨ

Abstract

Objective: To analyze the characteristics and outcomes of the emergency peripartum hysterectomies performed at Tu Du Hospital. Subjects and methods: This retrospective case series included all women undergone emergency peripartum hysterectomies for severe PPH following vaginal delivery at Tu Du Hospital between 1 August and 20 December 2019. The characteristics consisted of epidemiologic characteristics, obstetric and gynecologic history, this pregnancy, delivery, and PPH characteristics. Results: In the 5-month period of study, there were 177 severe PPH following vaginal delivery cases at Tu Du Hospital. Among them, we identified 7 cases (3.9%) undergone emergency peripartum hysterectomy after failing with less invasive treatments. All were successfully treated after the emergency hysterectomy. Conclusions: Although severe PPH accounts for a small percentage, it contributes significantly to the morbidity and mortality rate. There have been many advances in medical and surgical techniques but emergency peripartum hysterectomy remains an essential intervention for severe PPH that is unresponsive to primary treatment.