Plasenta Previalı Hastalarda Peripartum Histerektomi İçin Risk Faktörleri

Objective & Hypothesis:OBJECTIVE: The aim of the present study was to identify the antepartum risk factors for peripartum hysterectomy in women with placenta previa.

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Key Findings & Data:STUDY DESIGN: The medical records of 57 women, who underwent cesarean because of placenta previa during the period January 2006-January 2013, were reviewed retrospectively.

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Conclusion & Impact:Antepartum evaluation of adhesive disorders with imaging studies may play a crucial role in predicting hysterectomy in these cases.

🔬Design:Review & Systematic Survey

📍Scope:2006 Verileri

⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: The aim of the present study was to identify the antepartum risk factors for peripartum hysterectomy in women with placenta previa. STUDY DESIGN: The medical records of 57 women, who underwent cesarean because of placenta previa during the period January 2006-January 2013, were reviewed retrospectively. Antepartum characteristics of women who did and did not undergo peripartum hysterectomy were compared. RESULTS: Among the 57 cases with placenta previa, peripartum hysterectomy was required in 6 (10.5%) women. A statistically increased risk emerged for a history of repeated cesarean delivery (p=0.045), placental adhesive disorders (p<0.001), and an estimated blood loss >=2000 ml (p<0.001). CONCLUSION: The present study confirmed placenta previa is a condition for a substantial risk of peripartum emergent hysterectomy. An increasing number that of previous cesareans, placental adhesive disorders and blood loss >=2000 ml were found to be associated with the risk. Antepartum evaluation of adhesive disorders with imaging studies may play a crucial role in predicting hysterectomy in these cases.

Özet

AMAÇ: Bu çalışmada plasenta previalı hastalarda peripartum histerektomi için antepartum risk faktörlerinin belirlenmesi amaçlanmıştır. GEREÇ VE YÖNTEM: Adnan Menderes Üniversitesi Tıp Fa - kül tesi Hastanesi'nde Ocak 2006-Ocak 2013 döneminde plasenta previa nedeniyle sezaryen yapılan 57 vaka retrospektif olarak değerlendirilmiştir. Histerektomi olan ve olmayan hastalar antepartum özellikleri açısından karşılaştırılmıştır. BULGULAR: Plasenta previa nedeniyle sezaryen yapılan 57 hastadan 6'sına (%10,5) peripartum histerektomi uygulanmıştır. Tekrarlayan sezaryen hikayesi (p=0,045), plasental adezyon anomalileri (p<0,001) ve 2000 ml'den fazla kan kaybı (p<0,001) histerektomi için risk faktörleri olarak tespit edilmiştir. SONUÇ: Bu çalışmada plasenta previanın acil peripartum histerektomi için önemli bir risk faktörü olduğu bir kez daha gösterilmiştir. Artan sayıda geçirilmiş sezaryenler, plasenta adezyon anomalileri ve 2000 ml'den fazla kan kaybı peripartum histerektomi için risk faktörleri olarak bulunmuştur. Plasenta previalı hastalarda adezyon anomalilerini belirlemek için antepartum görüntüleme yöntemlerinden yararlanılmalıdır.

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Cite This Article

ALTINKAYA, S. Ö., AVCIOĞLU, S. N., GÜLDAŞ, M., SEZER, S. D., YÜKSEL, H. (2014). Plasenta Previalı Hastalarda Peripartum Histerektomi İçin Risk Faktörleri. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 20 - Sayı: 1, 24–28. https://ajindex.com/articles/201628

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