Clinical analysis on 30 cases of emergency obstetric hysterectomy

Objective To compare and analyze the emergency obstetric hysterectomy in the four years from January 2010 to December 2013,so as to master the surgical indications and reduce the incidence of obstetrical emergency hysterectomy.Method We retrospectively analyzed 30 patients admitted in our hospital from January 2010 to December 2013.Results Firstly,the rate of caesarean section in 2013 was obviously higher than those in 2010-2012,but the incidence of the emergency obstetric hysterectomy in 2013 didn' t go up; secondly,the main indications of emergency obstetric hysterectomy were placental factors (70％); thirdly,both the using of plugging the yarn in vagina and the usage rate of Bakri balloon in 2013 were significantly higher than those in the three years from January 2010 to December 2012,(x 2=1001.36,39.65,P=0.000,0.000); fourthly,the incidence of the emergency obstetric hysterectomy and the rate of postpartum hemorrhage in 2013 were both obviously lower those in the three years from January 2010 to December 2012 (x 2=16.56,3.26,P=0.000,0.039).Conclusion Firstly,we should prevent the occurrence of abnormal placenta in order to reduce the incidence of obstetrical emergency hysterectomy; secondly,the use of Bakri balloon could advance the success rate of the rescue of postpartum bleeding,and reduce the referral rate; thirdly,the using of plugging the yarn in vagina could reduce the rate of postpartum hemorrhage; fourthly,the lower rate of the postpartum hemorrhage and the usage of Bakri balloon both could reduce the incidence of obstetrical emergency hysterectomy. Key words: Obstetrical emergency hysterectomy;  Bakri balloon;  Reduce