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KMID : 0375219940090010149
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Journal of Il Sin Christian Hospital
1994 Volume.9 No. 1 p.149 ~ p.154
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Clinical Evaluation of Peripartal Hysterectomy
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변미숙
윤혜정/이경희/하현미/김현주/강경화
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Abstract
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Postpartum hemorrhage is one of the major causes of maternal mortalilty and sometimes hyterectomy is required.
Peripartal hysterectomy may be followed by morbidity and complications.
A total of 43 patients underwent peripartal hysterectomy at Il Sin Christian Hospital over a 5-year periord between 1989-1993.
The results were as follows.
Peripartal hysterectomy was performed in 43 of 48, 156 deliveries, the incidence of which was 0.09%.
The indication of periparatal hysterectomy was 49.1% in uterine atomy, folowed by palcenta accreta(37.2%), uterine repture (14%), extension of the cesarean incision into the uterine vessel(2.3%), abdominal pregnancy(2.3%), and cervical
cancer(2.3%).
Maternal death was one case in amnionic fluid embolism.
The first operative mobidity occurred in 18 patients: bladder injury in 3 cases, febrile mobidity in 14 cases, DIC in 6 cases and opreation wound disruption, urinary tract infection, pneumonia, and renal failure and pulmonary edema in 1 case
each.
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