Early postpartum hysterectomy: incidence and risk factors.

Abstract:

OBJECTIVE:To determine the incidence and risk factors of early postpartum hysterectomy at the University Hospital in Vienna. DESIGN:Retrospective case-control study. SETTING:General Hospital Vienna, a tertiary referral center. POPULATION:All 15,858 women who gave birth between 1st January 2003 and 31st December 2008. METHODS:Analysis of all cases of early postpartum hysterectomy using data from the clinical documentation system. MAIN OUTCOME MEASURE:Postpartum hysterectomy done during or within 24 hours of birth. RESULTS:The incidence of early postpartum hysterectomy was 1.39/1,000. Abnormally adherent placenta was the most common cause for hysterectomy followed by uterine atony and uterine rupture. There were no maternal deaths. Abnormal placentation, increased blood loss and lower gestational age were significant risk factors in women undergoing hysterectomy. The newborns of these women had a lower birthweight, significantly lower Apgar scores at 1 and 5 minutes and were more often transferred to the neonatal intensive care unit (NICU). An additional analysis in a sample of women with uterine atony identified age as risk factor for hysterectomy. CONCLUSION:Abnormal placentation, increased blood loss, low gestational age and maternal age are risk factors for early postpartum hysterectomy.

authors

Roethlisberger M,Womastek I,Posch M,Husslein P,Pateisky N,Lehner R

doi

10.3109/00016349.2010.499445

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

1040-4

issue

8

eissn

0001-6349

issn

1600-0412

journal_volume

89

pub_type

杂志文章
  • Cesarean section and maternal education; secular trends in Norway, 1967-2004.

    abstract:BACKGROUND:Worldwide rising cesarean section rates over the past decades have caused much concern. Studies on the association between cesarean section and maternal social background have reported conflicting results. METHODS:A cohort study, comprising 837,312 birth order one deliveries notified to the population-based...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340701417422

    authors: Tollånes MC,Thompson JM,Daltveit AK,Irgens LM

    更新日期:2007-01-01 00:00:00

  • Relationship between histopathological changes in post partum renal biopsies and renal function tests of African women with early onset pre-eclampsia.

    abstract:BACKGROUND:To improve the diagnostic accuracy of concurrent renal disease in hypertension of pregnancy, biopsy evaluation is essential. In addition, establishing underlying renal disease is important for prognosis on future pregnancies. We therefore designed a study to determine the diagnostic yield of postpartum renal...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:

    authors: Khedun SM,Naicker T,Moodley J

    更新日期:2000-05-01 00:00:00

  • Levonorgestrel-releasing intrauterine system or hysterectomy in the treatment of essential menorrhagia: predictors of outcome.

    abstract::Levonorgestrel-releasing intrauterine system (LNG-IUS) has been advocated as an effective alternative to hysterectomy in the treatment of menorrhagia. The outcome predictors have been poorly known. In this study the amount of menstrual blood loss (MBL) turned out to be the single most important outcome predictor of th...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.0001-6349.2004.00440.x

    authors: Hurskainen R,Teperi J,Aalto AM,Grenman S,Kivelä A,Kujansuu E,Vuorma S,Yliskoski M,Rissanen P,Paavonen J

    更新日期:2004-04-01 00:00:00

  • Sonographic dating of pregnancies among women with menstrual irregularities.

    abstract::In order to study the benefit of sonographic dating, 277 women with irregular periods and 264 women with a scanty last bleeding had gestational age and estimated day of delivery (EDD) estimated from both last menstrual period (LMP) and measurement of fetal Biparietal Diameter (BPD) in the second trimester. For the wom...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.3109/00016349109006171

    authors: Waldenström U,Axelsson O,Nilsson S

    更新日期:1991-01-01 00:00:00

  • The cervical mucus plug: structured review of the literature.

    abstract::The cervical mucus plug is a large, complex structure within the cervical canal that is shed shortly before or during labor. We propose that the cervical mucus plug fulfills critical 'gate-keeper' functions based on its physical and immunologic properties, which help prevent ascending infection and preterm labor. The ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1080/00016340902852898

    authors: Becher N,Adams Waldorf K,Hein M,Uldbjerg N

    更新日期:2009-01-01 00:00:00

  • Cost-effectiveness analysis of a low-dose contraceptive levonorgestrel intrauterine system in Sweden.

    abstract:OBJECTIVE:To evaluate the cost-effectiveness of a novel intrauterine system, levonorgestrel intrauterine system 13.5 mg vs. oral contraception, in women at risk of unintended pregnancy. DESIGN:Cost-effectiveness model using efficacy and discontinuation data from published articles. SETTING:Societal perspective includ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.12679

    authors: Henry N,Hawes C,Lowin J,Lekander I,Filonenko A,Kallner HK

    更新日期:2015-08-01 00:00:00

  • Intrapartum influences on cesarean delivery in multiple gestation.

    abstract:OBJECTIVE:To evaluate which intrapartum factors influence the method of delivery in a group of twin pregnancies eligible for vaginal delivery. STUDY DESIGN:Over a 10-year period, 967 consecutive twin pregnancies at gestational age >/=32 weeks with twin A presenting as a vertex and eligible for vaginal delivery were re...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1600-0412.2003.00098.x

    authors: Williams KP,Galerneau F

    更新日期:2003-03-01 00:00:00

  • A randomized controlled trial of 24-hour vaginal dinoprostone pessary compared to gel for induction of labor in term pregnancies with a Bishop score < or = 4.

    abstract:OBJECTIVE:To compare 24-hour controlled-release vaginal dinoprostone pessary vs. gel for induction of labor at term in women with an unfavorable cervix. DESIGN:Randomized controlled trial. SETTING:University hospital. POPULATION:A total of 133 women with singleton pregnancies, fetal cephalic presentation, Bishop sco...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/00016340903575998

    authors: Triglia MT,Palamara F,Lojacono A,Prefumo F,Frusca T

    更新日期:2010-05-01 00:00:00

  • Clinicoplacental phenotypes vary with gestational age: an analysis by classical and clustering methods.

    abstract:OBJECTIVE:As the patterns and frequency of maternal and clinical conditions and outcomes and gross and histological placental features and lesions vary with gestational age at delivery, we aimed to study the impact of these changes on the placental diagnosis, hoping to uncover potential novel clusters of gestational ag...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.12350

    authors: Stanek J,Biesiada J,Trzeszcz M

    更新日期:2014-04-01 00:00:00

  • Midtrimester triple test levels in women with severe preeclampsia and HELLP syndrome.

    abstract:BACKGROUND:The levels of midtrimester triple test constituents are known to be altered in hypertensive disorders of pregnancy. OBJECTIVE:Our aim was to determine whether midtrimester triple test constituent levels differ in women with severe preeclampsia and those who also develop HELLP (hemolysis, elevated liver enzy...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1600-0412.2003.00250.x

    authors: Shenhav S,Gemer O,Volodarsky M,Zohav E,Segal S

    更新日期:2003-10-01 00:00:00

  • Jugular venous blood flow velocity waveforms in human fetuses between 20 and 42 weeks of pregnancy.

    abstract:BACKGROUND:The goal of the study was to measure the blood flow parameters of the fetal internal jugular vein during the second half of normal pregnancy using Doppler ultrasound. METHODS:Jugular blood flow was analyzed in 95 normal singleton fetuses between 20 and 42 weeks gestation. Color and pulsed Doppler ultrasound...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349709034903

    authors: Gross B,Petrikovsky BM,Forman F,Pellerito J,Mandel FS,Goldman M

    更新日期:1997-11-01 00:00:00

  • Treatment of Bartholin's abscess. Marsupialization versus incision, curettage and suture under antibiotic cover. A randomized study with 6 months' follow-up.

    abstract::Conventional marsupialization was compared with incision plus curettage and primary suture of the abscess cavity under antibiotic (Clindamycin) cover in a prospective, randomized study of 32 patients with Bartholin's abscess. The median time to healing was 5 days less after suture than after marsupialization alone. Th...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/00016349209007949

    authors: Andersen PG,Christensen S,Detlefsen GU,Kern-Hansen P

    更新日期:1992-01-01 00:00:00

  • A study of the effect of rotational forceps delivery on fetal acid-base balance.

    abstract:OBJECTIVE:To determine whether Kiellands forceps rotational delivery causes a significant reduction in fetal pH or base excess, as compared to a control group delivered using non-rotational forceps. DESIGN:A prospective observational study. SETTING:A teaching hospital labor ward in the UK. METHODS:Fetal blood sampli...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.3109/00016349409072506

    authors: Baker PN,Johnson IR

    更新日期:1994-11-01 00:00:00

  • Factors associated with cone margin involvement in CIN patients undergoing conization-equivalent electrosurgical procedure.

    abstract:BACKGROUND:Most studies of cervical conization have considered the frequency of complications and the outcome of follow-up. The determinants of cone margin positivity have been inadequately described. In a series of CIN patients undergoing conization-equivalent electrosurgical procedure, we evaluated the factors associ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:

    authors: Costa S,De Nuzzo M,Terzano P,Santini D,De Simone P,Bovicelli A,Bovicelli L,Bucchi L

    更新日期:2000-07-01 00:00:00

  • Diagnosis of pelvic masses with transabdominal color Doppler, CA 125 and ultrasonography.

    abstract:BACKGROUND:The objective of this study was to test the accuracy of transabdominal color Doppler imaging in the prediction of malignancy of adnexal tumors when integrated in combination with CA 125 levels and two-dimensional ultrasound. METHODS:We considered 129 consecutive patients with a suspected adnexal mass at cli...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349509021184

    authors: Franchi M,Beretta P,Ghezzi F,Zanaboni F,Goddi A,Salvatore S

    更新日期:1995-10-01 00:00:00

  • Construction of an immunoradiometric assay for ovarian cancer associated antigen CA125 recognizing different antigenic determinant.

    abstract::We generated five murine monoclonal antibodies reactive with ovarian cancer-associated antigen CA125. These monoclonal antibodies seemed to bind to separate epitopes from OC125 antibody, known to recognize CA125. A series of immunoradiometric assays for measuring serum CA125 values rapidly and sensitively were devised...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349009006164

    authors: Saga T,Endo K,Nakashima T,Awaji T,Koizumi M,Kawamura Y,Watanabe Y,Konishi J,Nonogaki H,Nanbu Y

    更新日期:1990-01-01 00:00:00

  • When love hurts. A systematic review on the effects of surgical and pharmacological treatments for endometriosis on female sexual functioning.

    abstract:INTRODUCTION:Endometriosis is associated with an increased risk of dyspareunia, therefore this chronic gynecologic disease should be considered as a major cause of sexual dysfunctions. The aims of this study were to review the literature on the effects of surgical and pharmacological treatments for endometriosis on fem...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aogs.13031

    authors: Barbara G,Facchin F,Meschia M,Berlanda N,Frattaruolo MP,VercellinI P

    更新日期:2017-06-01 00:00:00

  • Heart frequency of the fetus at birth.

    abstract::Heart frequency was recorded in 10 infants during the delivery and the following day. It was found that during vaginal birth, in cephalic presentation, heart frequency decreased during the last 3 minutes before delivery of the head. In breech presentation the initial deceleration was shorter, while with cesarean secti...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348609157369

    authors: Klebe JG,Espersen T,Poulsen EH

    更新日期:1986-01-01 00:00:00

  • Placenta previa: its relationship with race and the country of origin among Asian women.

    abstract:OBJECTIVES:To examine the association between placenta previa with maternal race and its variations by country of origin among Asian women. STUDY DESIGN:Retrospective cohort study. METHODS:We analyzed data from a population-based retrospective cohort study of 16,751,627 pregnancies in the US. The data were derived fr...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340802071037

    authors: Yang Q,Wu Wen S,Caughey S,Krewski D,Sun L,Walker MC

    更新日期:2008-01-01 00:00:00

  • Elevated amniotic fluid leptin levels in pregnant women who are destined to develop preeclampsia.

    abstract:OBJECTIVE:To analyze whether leptin levels of the amniotic fluid elevate during early pregnancy in women destined to develop preeclampsia and to evaluate the relationship between amniotic fluid leptin levels and gestational age, maternal body mass index, and fetal sex. STUDY DESIGN:Leptin levels of the amniotic fluid ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340500460615

    authors: Chan TF,Su JH,Chung YF,Hsu YH,Yeh YT,Yuan SS

    更新日期:2006-01-01 00:00:00

  • Treatment of advanced endometrial carcinoma with cisplatin, cyclophosphamide and doxorubicin.

    abstract::A patient with advanced adenocarcinoma of the endometrium was treated with cisplatin, cyclophosphamide and doxorubicin. This regimen achieved surgically proved complete remission. No severe drug-related toxicity occurred. ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348509154694

    authors: Deppe G,Lin Liu T

    更新日期:1985-01-01 00:00:00

  • Does resilience moderate the effect of intimate partner violence on signs of depression among Tanzanian pregnant women: A cross-sectional study.

    abstract:INTRODUCTION:Exposure to intimate partner violence (IPV) has been found to be associated with a multitude of poor health and quality of life outcomes. Among the risks exacerbated by IPV is prenatal depression. Resilience is hypothesized to protect against psychopathology after exposure to a traumatic influence. The pre...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.14062

    authors: Magnusson FL,Rogathi JJ,Sigalla GN,Manongi R,Rasch V,Gammeltoft T,Meyrowitsch DW

    更新日期:2020-12-14 00:00:00

  • Human embryonic cardiovascular function.

    abstract:INTRODUCTION:This review presents an overview of descriptive knowledge on human embryonic cardiovascular physiology mostly based on noninvasive assessment by Doppler ultrasonography. Our objective was to identify and analyze published studies on embryonic cardiovascular function, and summarize available knowledge in th...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 评论,杂志文章,评审

    doi:10.1111/aogs.12860

    authors: Acharya G,Gui Y,Cnota W,Huhta J,Wloch A

    更新日期:2016-06-01 00:00:00

  • Second trimester ultrasound screening performed by midwives; sensitivity for detection of fetal anomalies.

    abstract:BACKGROUND:To assess the sensitivity for detection of fetal anomalies by a second trimester ultrasound screening program performed in a way representative of a majority of Swedish obstetrical departments. The examinations were performed at the ultrasound division of the Department of Obstetrics and Gynecology at the Un...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:

    authors: Eurenius K,Axelsson O,Cnattingius S,Eriksson L,Norsted T

    更新日期:1999-02-01 00:00:00

  • Very short cervix in low-risk asymptomatic singleton pregnancies: Outcome according to treatment and cervical length at diagnosis.

    abstract:INTRODUCTION:The aim of this study was to explore the outcome of low-risk singleton pregnancies with very short cervical length (CL ≤15 mm) according to method of treatment and CL at diagnosis. MATERIAL AND METHODS:Retrospective study on singleton pregnancies devoid of risk factors for spontaneous preterm delivery ide...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.13881

    authors: Souka AP,Papamihail M,Pilalis A

    更新日期:2020-11-01 00:00:00

  • Predictors of anxiety and depression following pregnancy termination: a longitudinal five-year follow-up study.

    abstract:BACKGROUND:The aims of the study were to assess anxiety and depression in women who had experienced either a miscarriage or an induced abortion, to compare the women's level of distress with that of a general population sample, and to find predictors of anxiety and depression six months and five years after the event. ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340500438116

    authors: Broen AN,Moum T,Bödtker AS,Ekeberg O

    更新日期:2006-01-01 00:00:00

  • Fibrinogen and histidine-rich glycoprotein in early-onset preeclampsia.

    abstract:OBJECTIVE:To determine whether plasma levels of fibrinogen and the placental tissue distributions of fibrinogen and histidine-rich glycoprotein (HRG) differ between early- and late-onset preeclampsia. DESIGN:The study comprised 18 women with early-onset (gestational weeks 24-32) and 19 women with late-onset (gestation...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016340903295618

    authors: Kårehed K,Wikström AK,Olsson AK,Larsson A,Olovsson M,Akerud H

    更新日期:2010-01-01 00:00:00

  • An epidemiological study of obstetric ultrasound examinations in Denmark 1989-1990.

    abstract:OBJECTIVE:To provide an epidemiological description of the use of ultrasound in obstetrics in Denmark and to analyse whether screening per se reduces the mean number of obstetric ultrasound examinations for all pregnant women. DESIGN:Questionnaire study based on hospital records and patient interviews. SETTING:All Da...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349209041442

    authors: Jørgensen FS

    更新日期:1992-10-01 00:00:00

  • Risk of spontaneous abortion following legally induced abortion.

    abstract::Using the registration of all pregnant women living within a particular geographical district of Copenhagen the risk of spontaneous abortion has been calculated by means of a decremental method. A total of 3,042 pregnancies were registered and the total risk of spontaneous abortion was calculated at 10 per cent. In 43...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348009154629

    authors: Obel EB

    更新日期:1980-01-01 00:00:00

  • The importance of maternal BMI on infant's birth weight in four BMI groups for the period 1978-2001.

    abstract:OBJECTIVE:To study whether increased maternal weight and other factors of importance is associated with higher birth weights of the children over a period of almost 25 years. DESIGN:Retrospective cohort study. SETTING:Delivery wards in southeast Sweden. SAMPLE:A total of 4,330 delivered women and their children from...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340902807199

    authors: Brynhildsen J,Sydsjö A,Ekholm-Selling K,Josefsson A

    更新日期:2009-01-01 00:00:00