[Emergency peripartum hysterectomy: indications and prognosis].

AIM: Detect the risk factors, indications and maternal morbidity of haemostatic hysterectomy.

METHODS

A retrospective study of 46 women who had haemostatic hysterectomy between 2005 and 2009.

RESULTS

The mean age was 33.3 years. The mean parity was 3.5. 35% of patients had a previous cesarean section. The mode of delivery was: vaginal delivery (47.8%), cesarean delivery (52.2 %). The hysterectomy was subtotal in 39 cases (85%). The indications of haemostatic hysterectomy was: uterine inertia (44%), disseminated intravascular coagulation (26%), placenta accreta (8.7%), Placenta praevia (13%), uterine rupture (8.7%).Three patients were dead. Five patients had a depression. Six patients had a dyspareunia. Five patients had a decrease of sexual desire.

CONCLUSION

Haemostatic hysterectomy is a mutilating surgery giving an irreversible infertility. The development of arterial embolization avoid the appeal to this surgery.