The Analysis Study of Incidence, Indications, Risk Factor, Management and Outcomes of Emergency Hysterectomy: A Comprehensive Systematic Review
Keywords:
Emergency obstetric hysterectomy (EOH), indications, management, risk factor, incidentAbstract
Background: Extirpation of the uterus during the puerperium, after vaginal delivery, or after a caesarean section is known as an emergency obstetric hysterectomy (EOH). It is typically carried out when obstetric haemorrhage is severe and life-threatening. A woman who almost died but survived a pregnancy-related or childbirth-related issue, or within 42 days of the pregnancy ending, is said to have experienced a near-miss episode. The aim: The aim of this study to show about incident, indications, risk factor, management and outcomes of emergency hysterectomy. Methods: By the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. This search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed, SagePub, and Sciencedirect were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. Result: Eight publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: In obstetrics, emergency obstetric hysterectomy (EOH) is a necessary evil. In many instances, it saves the mother's life, even though it limits the woman's future ability to bear children. Rather than the treatment itself, the majority of its morbidity is caused by its indications and underlying illnesses.
References
Aimagambetova G, Sakko Y, Gusmanov A, Issanov A, Ukybassova T, Bapayeva G, et al. The Prevalence, Incidence, Indications and Outcomes of Peripartum Hysterectomy in Kazakhstan: Data from Unified Nationwide Electronic Healthcare System 2014–2018. Int J Womens Health. 2022;14(February):267–78.
Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Heal. 2014;2(6):323–33.
Rawashdeh H, Obeidat R, Masaadeh L. Emergency peripartum hysterectomy in a tertiary teaching hospital in Northern Jordan: a 15-year review. Gynecol Surg. 2021;18(1):1–6.
Van Den Akker T, Brobbel C, Dekkers OM, Bloemenkamp KWM. Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide: A Systematic Review and Meta-analysis. Obstet Gynecol. 2016;128(6):1281–94.
Campbell SM, Corcoran P, Manning E, Greene RA. Peripartum hysterectomy incidence, risk factors and clinical characteristics in Ireland. Eur J Obstet Gynecol Reprod Biol. 2016;207:56–61.
Sahin S, Guzin K, Eroǧlu M, Kayabasoglu F, Yaşartekin MS. Emergency peripartum hysterectomy: Our 12-year experience. Arch Gynecol Obstet. 2014;289(5):953–8.
Chaudhary V, Singh M, Nain S, Reena F, Aggarwal K, Biswas R, et al. Incidence, Management and Outcomes in Women Undergoing Peripartum Hysterectomy in a Tertiary Care Centre in India. Cureus. 2021;13(3).
Pradhan M, Shao Y. Emergency peripartum hysterectomy as postpartum hemorrhage treatment: Incidence, risk factors, and complications. J Nepal Med Assoc. 2014;52(193):668–76.
Zhang Y, Yan J, Han Q, Yang T, Cai L, Fu Y, et al. Emergency obstetric hysterectomy for life-threatening postpartum hemorrhage. Med (United States). 2017;96(45):1–5.
Vural T, Bayraktar B, Karaca SY, Golbasi C, Odabas O, Taner CE. Indications, risk factors, and outcomes of emergency peripartum hysterectomy: A 7-year retrospective study at a tertiary center in Turkey. Malawi Med J. 2023;35(1):31–42.
Mbakwa MR, Tendongfor N, Ngunyi YL, Ngek ESN, Alemkia F, Egbe TO. Indications and outcomes of emergency obstetric hysterectomy; a 5-year review at the Bafoussam Regional Hospital, Cameroon. BMC Pregnancy Childbirth. 2021;21(1):1–7.
Chawla J, Arora CD, Paul M, Ajmani SN. Emergency obstetric hysterectomy: A retrospective study from a teaching hospital in north India over eight years. Oman Med J. 2015;30(3):181–6.
Gică N, Ragea C, Botezatu R, Peltecu G, Gică C, Panaitescu AM. Incidence of Emergency Peripartum Hysterectomy in a Tertiary Obstetrics Unit in Romania. Med. 2022;58(1):2–9.
Wani R V., Abu-Hudra NMS, Al-Tahir SI. Emergency Peripartum Hysterectomy: A 13-Year Review at a Tertiary Center in Kuwait. J Obstet Gynecol India. 2014;64(6):403–8.
Verma A, Sharma G, Kashyap M. A Retrospective Analysis of Emergency Obstetric Hysterectomy: A Life-Saving Intervention. Cureus. 2023;15(10).
Annan JJK, Konney TO, Sam-Awortwi W, Darkwa KA. Emergency hysterectomy in a tertiary care hospital: Indications, surgical outcomes and challenges: A 2year retrospective descriptive cross-sectional study. Pan Afr Med J. 2020;37(106):1–11.
Pettersen S, Falk RS, Vangen S, Nyfløt LT. Peripartum hysterectomy due to severe postpartum hemorrhage: A hospital-based study. Acta Obstet Gynecol Scand. 2022;101(7):819–26.
Patel M. Postpartum Hemorrhage: Enhancing Outcomes for Mothers by Effective Management. J Obstet Gynecol India [Internet]. 2024;74(3):191–5. Available from: https://doi.org/10.1007/s13224-024-02022-3
de la Cruz CZ, Thompson EL, O’Rourke K, Nembhard WN. Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review. Arch Gynecol Obstet. 2015;292(6):1201–15.
Qatawneh A, Fram KM, Thikerallah F, Mhidat N, Fram FK, Fram RK, et al. Emergency peripartum hysterectomy at Jordan University hospital a teaching hospital experience. Prz Menopauzalny. 2020;19(2):66–71.
Knight M. Peripartum hysterectomy in the UK: Management and outcomes of the associated haemorrhage. BJOG An Int J Obstet Gynaecol. 2007;114(11):1380–7.
Huque S, Roberts I, Fawole B, Chaudhri R, Arulkumaran S, Shakur-Still H. Risk factors for peripartum hysterectomy among women with postpartum haemorrhage: Analysis of data from the WOMAN trial. BMC Pregnancy Childbirth. 2018;18(1):1–8.
Stivanello E, Knight M, Dallolio L, Frammartino B, Rizzo N, Fantini MP. Peripartum hysterectomy and cesarean delivery: A population-based study. Acta Obstet Gynecol Scand. 2010;89(3):321–7.
Begum M, Alsafi F, ElFarra J, Tamim HM, Le T. Emergency Peripartum Hysterectomy in a Tertiary Care Hospital in Saudi Arabia. J Obstet Gynecol India. 2014;64(5):321–7.
Kallianidis AF, Maraschini A, Danis J, Colmorn LB, Deneux-Tharaux C, Donati S, et al. Epidemiological analysis of peripartum hysterectomy across nine European countries. Acta Obstet Gynecol Scand. 2020;99(10):1364–73.
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