Peripartum hysterectomy in a public hospital in the interior of the Brazilian northeast

Abstract

Objectives: To trace the clinical, epidemiological and obstetric profile of women undergoing peripartum hysterectomy, as well as to identify the incidence and outcome of this procedure. Methods: Retrospective, longitudinal study with a quantitative approach carried out in the maternity ward of a public hospital in Picos-Piauí with all women who underwent peripartum hysterectomy from January 2020 to January 2022. Results: Seven patients underwent the procedure at the institution during the period study time period, which corresponded to a rate of 2.13 peripartum hysterectomies per 1000 births. The mean age was 33 years (±5.9 years), ranging from 27 to 39 years. Women from the macro-region of neighboring cities prevailed (85.8%), married (71.5%), brown (71.5%), farm workers (71.6%), and 57% studied up to elementary school. The mean length of hospital stay was 5.6 days (±2.7 years), ranging from 3 to 11 days. The diagnosis of bleeding syndromes prevailed, 85.8% required blood products, 42.8% required admission to the intensive care unit and 57.2% underwent subtotal hysterectomy. There was no evidence of death, 85% were discharged due to cure and only 15% were transferred. Conclusions: Most women were young, married, farmers, brown, pregnant and had a cesarean section. A large majority required blood transfusion and intensive care.