Clinical Analysis On 44 Cases Of The Hysterectomy Of Pregrancy And Childbirth

Object:To investigate the clinical characters of the hysterectomy of pregrancy and childbirth.Methods:To retrospct maternal clinical data of patients of the First Hospital of Jilin University after hysterectomy from March ,1999 to March ,2010, analyse the general condition of the collection of cases, gestational age, gravida, parity, previous birth history, postnatal bleeding, hysterectomy during pregnancycons- titutes a different ratio, between March 1999 to March ,2010 , hysterectomy causes of maternal changes of mode of delivery rate of hysterectomy, surgical indications, surgical timing, surgical options were reviewed analysis.Results:1.The causes of hysterectomy of pregrancy and childbirth include placental factors (46.5%), uterine atony (23.3%), infection of the uterine incision or dehiscence after CS(18.6%), uterine rupture (7.0%), DIC (2.3%), amniotic fluid embolism (2.3%), etc, which accounts for largest proportion of placental factors. The constituent of of hysterectomy of pregrancy and childbirth in different pregrancy peoriod and years is different.⑴reasons of hysterectomy of gestational age between13 and 27 weeks: placental factors accounted for 50% of the total ,uterine rupture 50%;⑵reasons of hysterectomy causes of gestational age≥28 Weeks reasons: placental factors accounted for 46%,uterine atony for 27% , infection of the uterine incision or dehiscence after CS accounted for 21.6%, DIC accounted for 2.7%, amniotic fluid embolism accounted for 2.7% .⑶from February 1999 to March 2005,the reasons of hysterectomy of gestational age between13 and 27 weeks placental factors hysterectomy accounted for 66.7%, uterine rupture accounted for 33.3%; reasons of hysterectomy gestational age≥28 Weeks: uterine atony accounting for 57.1% of the first, uterine incision infection split for 28.6%,placental factors accounted for 14.3%, the largest proportion is uterine atony.⑷from March 2005 to March 2010,the reasons of hysterectomy of gestational age between13 and 27 weeks,uterine rupture accounted for 66.7%, placental factor accounted for33.3%; he reasons of hysterectomy of gestational age≥28 Weeks: Placental factors accounted for 53.4%, uterine atony accounts for 20 % infection of the uterine incision dehiscence 20%, placental factors accounted for the largest share. 2. pregnancy hysterectomy and maternal age, seems to be on relevance. Data, 29 to 30 years age group the highest rate of hysterectomy. 3, more productive pregnancy, history of cesarean section or induced abortion and maternal risk factors, a high proportion of pregnancy hysterectomy. 4.Clinical doctors should strengthen the scar uterine especially after cesarean section mission consciousness.Conclution:1.A leading cause of maternal hysterectomy factors, including the placenta, uterine atony, uterine dehiscence wound infection, uterine rupture, DIC, such as amniotic fluid embolism, placental factors which accounted for the largest share. sampling results indicated that hysterectomy causes, in different years than different, from March 1999 to March 2005, the proportion of uterine atony accounts for the largest, in March 2005 To March 2010, placental factors accounted for the largest share. 2 .pregnancy hysterectomy and maternal age, seems to be on relevance. 29 to 30 age group the highest rate of hysterectomy. cesarean delivery than vaginal delivery and hysterectomy hysterectomy. 3.more productive pregnancy, history of cesarean section or induced abortion and maternal risk factors, a high proportion of pregnancy hysterectomy.4.Clinical doctors should strengthen the scar uterine especially after cesarean section mission consciousness.