Potentially Avoidable Peripartum Hysterectomies in Denmark: A Population Based Clinical Audit.

ABSTRACT:

Objective

To audit the clinical management preceding peripartum hysterectomy and evaluate if peripartum hysterectomies are potentially avoidable and by which means.

Material and methods

We developed a structured audit form based on explicit criteria for the minimal mandatory management of the specific types of pregnancy and delivery complications leading to peripartum hysterectomy. We evaluated medical records of the 50 Danish women with peripartum hysterectomy identified in the Nordic Obstetric Surveillance Study 2009-2012 and made short narratives of all cases.

Results

The most frequent indication for hysterectomy was hemorrhage. The two main initial causes were abnormally invasive placenta (26%) and lacerations (26%). Primary atony was third and occurred in 20%. Be

SUBMITTER: Colmorn LB 

PROVIDER: S-EPMC4999193 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature