Prevalência de histerectomia pós-parto em maternidade pública do estado de Sergipe

Abstract

Objective: To collect data on the prevalence, risk factors and main indications of postpartum hysterectomies at a public maternity hospital in the state of Sergipe. Methods: This is a descriptive retrospective cross-sectional study, through the descriptive analysis of records of cases of women submitted to postpartum hysterectomy between January 2012 and December 2016, at Hospital and Maternidade São José, Itabaiana / SE. Including maternal age, parity, gestational age, type of delivery, indications for hysterectomy and outcome of hysterectomy. Results: 23 cases of postpartum hysterectomy (1.70 per 1000 births), 15 (65.0%) after cesarean section (4.26 per 1,000 cesareans) and eight (35%) were found after vaginal delivery (0.80 per 1000 vaginal deliveries). Only one patient was nulliparous. The most common indication was anomalous placentation with eight (34.8%), followed by uterine atony with seven (30.4%) indications. Uterine rupture was found in four patients (17.4%), infection and endometriosis with one (4.3%), hysterectomy indication was not specified in one case. The main complications were the need for hemotransfusion in all women (100%), hypovolemic shock in four (17.39%), disseminated intravascular coagulation and febrile syndrome with two women (8.70) each, two (8.70% ) women were transferred to the Intensive Care Unit. There were no maternal deaths. Conclusions: Postpartum hysterectomy was more prevalent post-cesarean than vaginal delivery. The main cause was anomalous placentation. The main complication was blood transfusion.