Resumen

BRICENO-PEREZ, Carlos et al. Histerectomía obstétrica: análisis de 15 años. Rev Obstet Ginecol Venez [online]. 2009, vol.69, n.2, pp.89-96. ISSN 0048-7732.

SUMMARY Objective: To determine the incidence, associated factors and repercussions of obstetric hysterectomy. Methods: Retrospective, descriptive, analytic and transversal study that included 50 obstetric hysterectomies (OH) in 64 293 obstetrics cases, during fifteen years (from August 1st, 1993 to July 31th, 2008). Setting: Department of Obstetrics and Gynecology. Our Lady of Chiquinquira Hospital. Maracaibo, Venezuela. Results: The incidence of OH was 0.07 % (1 OH by 1 285 obstetric cases). It was more frequent in women between 25-29 years (26 %), IV gestations (34 %), para 3 (26 %), prenatal care (63,33 %), pregnancies 37-41 weeks (56 %), after cesarean section (46 %), total hysterectomy (86 %), uterine atony as mean indication (38 %), complicated with anemia (88 %), blood transfusion (84 %) and discharged home <7 days length of stay (56 %). There were 8 maternal deaths (16 %) and adjusted maternal mortality rate was 792 by 10 000 live births. There were 9 abortions (18 %), 15 fetal deaths (30 %) and adjusted perinatal mortality rate was 129 by 1 000 live births. Conclusions: Obstetric hysterectomy in the studied population, was not frequent, commonest indicated by hemorrhagic disorders and there were high maternal morbidity and mortality.

Palabras clave : Hysterectomy; Obstetric; Emergency; Peripartum.