Volume 4, Issue 6, November 2016, Page: 57-61
Postpartum Hysterectomy a Case Report of a Saving Life Surgery
Alfredo de Almeida Cunha, Hospital Estadual da Mãe, Hospital e Maternidade Therezinha de Jesus, Rocha Sobrinho, Mesquita, RJ, Brasil
Cláudio de Oliveira Soeiro, Hospital Estadual da Mãe, Hospital e Maternidade Therezinha de Jesus, Rocha Sobrinho, Mesquita, RJ, Brasil
Sérgio Araujo Martins Teixeira, Hospital Estadual da Mãe, Hospital e Maternidade Therezinha de Jesus, Rocha Sobrinho, Mesquita, RJ, Brasil
Emílio de Assis, Hospital Estadual da Mãe, Hospital e Maternidade Therezinha de Jesus, Rocha Sobrinho, Mesquita, RJ, Brasil
Received: Jul. 3, 2016;       Accepted: Dec. 5, 2016;       Published: Jan. 7, 2017
DOI: 10.11648/j.jgo.20160406.15      View  4150      Downloads  129
Postpartum hemorrhage (PPH) is the most cause of maternal mortality all over the world important. Its prevalence is about 4 cases in 10,000 deliveries. However, the risk of maternal death is nearly 16% of all maternal deaths in developing countries, especially in Africa. It depends on the resources to stop bleeding, medical and surgical. The first ones are uterotonics medication (prostaglandin, methylergonovine and oxytocin), and the latest professional apt to perform surgical procedures, such as B-Lynch surgery and the peripartum hysterectomy. A woman, 20 years old, GI, P0, A0, with a single pregnancy, 42 weeks of gestational age and 5 prenatal bookings was attended at the emergency on April 12th 2015. The next day the patient delivered a male baby. The uterus was soft and at the examination she expelled a great amount of clots. She was prescribed Ringer lactate 500 ml + oxytocin 15 IU + methylergonovine 0.2 mg IM + misoprostol 800 µg per rectum. She continued bleeding and a hysterectomy was performed. The patient was discharge in good condition. The pathology revealed myometrium permeated by trophoblasts (placenta accreta).
Hysterectomy, Postpartum Hemorrhage, Surgery, Oxytocin, Misoprostol
To cite this article
Alfredo de Almeida Cunha, Cláudio de Oliveira Soeiro, Sérgio Araujo Martins Teixeira, Emílio de Assis, Postpartum Hysterectomy a Case Report of a Saving Life Surgery, Journal of Gynecology and Obstetrics. Vol. 4, No. 6, 2016, pp. 57-61. doi: 10.11648/j.jgo.20160406.15
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Carroli G, Cuesta C, Abalos E, Gulmezoglu AM: Epidemiology of postpartum haemorrhage: a systematic review. Best Pract Res Clin Obstet Gynaecol 2008, 22 (6): 999-1012.
Rath WH: Postpartum hemorrhage--update on problems of definitions and diagnosis. Acta Obstet Gynecol Scand 2011, 90 (5): 421-428.
Weeks A: The prevention and treatment of postpartum haemorrhage: what do we know, and where do we go to next? BJOG 2015, 122 (2): 202-210.
Mehrabadi A, Hutcheon JA, Liu S, Bartholomew S, Kramer MS, Liston RM, Joseph KS, Maternal Health Study Group of Canadian Perinatal Surveillance S: Contribution of placenta accreta to the incidence of postpartum hemorrhage and severe postpartum hemorrhage. Obstet Gynecol 2015, 125 (4): 814-821.
Abdul-Kadir R, McLintock C, Ducloy AS, El-Refaey H, England A, Federici AB, Grotegut CA, Halimeh S, Herman JH, Hofer S et al: Evaluation and management of postpartum hemorrhage: consensus from an international expert panel. Transfusion 2014, 54 (7): 1756-1768.
Urner F, Zimmermann R, Krafft A: Manual removal of the placenta after vaginal delivery: an unsolved problem in obstetrics. J Pregnancy 2014, 2014: 274651.
Binkowska M, Ciebiera M, Jakiel G: Placenta accreta: review and 3 case reports. Ginekol Pol 2015, 86 (5): 396-400.
Takebayashi A, Kimura F, Yamanaka A, Takahashi A, Tsuji S, Ono T, Kaku S, Kita N, Takahashi K, Okabe H et al: Exaggerated placental site, consisting of implantation site intermediate trophoblasts, causes massive postpartum uterine hemorrhage: case report and literature review. Tohoku J Exp Med 2014, 234 (1): 77-82.
Luo A, Mao P: Late postpartum hemorrhage due to placental and fetal membrane residuals: experience of two cases. Clin Exp Obstet Gynecol 2015, 42 (1): 104-105.
Rivera-Rosado M, Flores-Perez IS, Mendez K, Rivera-Vinas JI: Risk factors for hysterectomy in abnormal placentation at the University District Hospital. Bol Asoc Med P R 2014, 106 (1): 27-29.
Calvo-Aguilar O, Vasquez-Martinez J, Hernandez-Cuevas P: [Obstetric hysterectomy in the General Hospital Dr. Aurelio Valdivieso: three-year review]. Ginecol Obstet Mex 2016, 84 (2): 72-78.
Butwick AJ, Carvalho B, Blumenfeld YJ, El-Sayed YY, Nelson LM, Bateman BT: Second-line uterotonics and the risk of hemorrhage-related morbidity. Am J Obstet Gynecol 2015, 212 (5): 642 e 641-647.
Hofmeyr GJ, Gulmezoglu AM, Novikova N, Lawrie TA: Postpartum misoprostol for preventing maternal mortality and morbidity. Cochrane Database Syst Rev 2013, 7: CD008982.
Morlando M, Sarno L, Napolitano R, Capone A, Tessitore G, Maruotti GM, Martinelli P: Placenta accreta: incidence and risk factors in an area with a particularly high rate of cesarean section. Acta Obstet Gynecol Scand 2013, 92 (4): 457-460.
Bratila E, Ionescu CA, Vladescu CT, Cirstoiu MM, Berceanu C: Gestational choriocarcinoma after term pregnancy: a case report. Rom J Morphol Embryol 2015, 56 (1): 267-271.
Nelissen E, Ersdal H, Mduma E, Evjen-Olsen B, Broerse J, van Roosmalen J, Stekelenburg J: Helping Mothers Survive Bleeding After Birth: retention of knowledge, skills, and confidence nine months after obstetric simulation-based training. BMC Pregnancy Childbirth 2015, 15: 190.
Browse journals by subject