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Histerectomía obstétrica: análisis de 15 a?osKeywords: hysterectomy, obstetric, emergency, peripartum. Abstract: summary objective: to determine the incidence, associated factors and repercussions of obstetric hysterectomy. methods: retrospective, descriptive, analytic and transversal study that included 50 obstetric hysterectomies (oh) in 64 293 obstetrics cases, during fifteen years (from august 1st, 1993 to july 31th, 2008). setting: department of obstetrics and gynecology. our lady of chiquinquira hospital. maracaibo, venezuela. results: the incidence of oh was 0.07 % (1 oh by 1 285 obstetric cases). it was more frequent in women between 25-29 years (26 %), iv gestations (34 %), para 3 (26 %), prenatal care (63,33 %), pregnancies 37-41 weeks (56 %), after cesarean section (46 %), total hysterectomy (86 %), uterine atony as mean indication (38 %), complicated with anemia (88 %), blood transfusion (84 %) and discharged home <7 days length of stay (56 %). there were 8 maternal deaths (16 %) and adjusted maternal mortality rate was 792 by 10 000 live births. there were 9 abortions (18 %), 15 fetal deaths (30 %) and adjusted perinatal mortality rate was 129 by 1 000 live births. conclusions: obstetric hysterectomy in the studied population, was not frequent, commonest indicated by hemorrhagic disorders and there were high maternal morbidity and mortality.
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