Postpartum hemorrhage (PPH) is the most cause of maternal mortality all over the world important. Its prevalence is about 4 cases in 10,000 deliveries. However, the risk of maternal death is nearly 16% of all maternal deaths in developing countries, especially in Africa. It depends on the resources to stop bleeding, medical and surgical. The first ones are uterotonics medication (prostaglandin, methylergonovine and oxytocin), and the latest professional apt to perform surgical procedures, such as B-Lynch surgery and the peripartum hysterectomy. A woman, 20 years old, GI, P0, A0, with a single pregnancy, 42 weeks of gestational age and 5 prenatal bookings was attended at the emergency on April 12th 2015. The next day the patient delivered a male baby. The uterus was soft and at the examination she expelled a great amount of clots. She was prescribed Ringer lactate 500 ml + oxytocin 15 IU + methylergonovine 0.2 mg IM + misoprostol 800 µg per rectum. She continued bleeding and a hysterectomy was performed. The patient was discharge in good condition. The pathology revealed myometrium permeated by trophoblasts (placenta accreta).
Published in | Journal of Gynecology and Obstetrics (Volume 4, Issue 6) |
DOI | 10.11648/j.jgo.20160406.15 |
Page(s) | 57-61 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Hysterectomy, Postpartum Hemorrhage, Surgery, Oxytocin, Misoprostol
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APA Style
Alfredo de Almeida Cunha, Cláudio de Oliveira Soeiro, Sérgio Araujo Martins Teixeira, Emílio de Assis. (2017). Postpartum Hysterectomy a Case Report of a Saving Life Surgery. Journal of Gynecology and Obstetrics, 4(6), 57-61. https://doi.org/10.11648/j.jgo.20160406.15
ACS Style
Alfredo de Almeida Cunha; Cláudio de Oliveira Soeiro; Sérgio Araujo Martins Teixeira; Emílio de Assis. Postpartum Hysterectomy a Case Report of a Saving Life Surgery. J. Gynecol. Obstet. 2017, 4(6), 57-61. doi: 10.11648/j.jgo.20160406.15
AMA Style
Alfredo de Almeida Cunha, Cláudio de Oliveira Soeiro, Sérgio Araujo Martins Teixeira, Emílio de Assis. Postpartum Hysterectomy a Case Report of a Saving Life Surgery. J Gynecol Obstet. 2017;4(6):57-61. doi: 10.11648/j.jgo.20160406.15
@article{10.11648/j.jgo.20160406.15, author = {Alfredo de Almeida Cunha and Cláudio de Oliveira Soeiro and Sérgio Araujo Martins Teixeira and Emílio de Assis}, title = {Postpartum Hysterectomy a Case Report of a Saving Life Surgery}, journal = {Journal of Gynecology and Obstetrics}, volume = {4}, number = {6}, pages = {57-61}, doi = {10.11648/j.jgo.20160406.15}, url = {https://doi.org/10.11648/j.jgo.20160406.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20160406.15}, abstract = {Postpartum hemorrhage (PPH) is the most cause of maternal mortality all over the world important. Its prevalence is about 4 cases in 10,000 deliveries. However, the risk of maternal death is nearly 16% of all maternal deaths in developing countries, especially in Africa. It depends on the resources to stop bleeding, medical and surgical. The first ones are uterotonics medication (prostaglandin, methylergonovine and oxytocin), and the latest professional apt to perform surgical procedures, such as B-Lynch surgery and the peripartum hysterectomy. A woman, 20 years old, GI, P0, A0, with a single pregnancy, 42 weeks of gestational age and 5 prenatal bookings was attended at the emergency on April 12th 2015. The next day the patient delivered a male baby. The uterus was soft and at the examination she expelled a great amount of clots. She was prescribed Ringer lactate 500 ml + oxytocin 15 IU + methylergonovine 0.2 mg IM + misoprostol 800 µg per rectum. She continued bleeding and a hysterectomy was performed. The patient was discharge in good condition. The pathology revealed myometrium permeated by trophoblasts (placenta accreta).}, year = {2017} }
TY - JOUR T1 - Postpartum Hysterectomy a Case Report of a Saving Life Surgery AU - Alfredo de Almeida Cunha AU - Cláudio de Oliveira Soeiro AU - Sérgio Araujo Martins Teixeira AU - Emílio de Assis Y1 - 2017/01/07 PY - 2017 N1 - https://doi.org/10.11648/j.jgo.20160406.15 DO - 10.11648/j.jgo.20160406.15 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 57 EP - 61 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20160406.15 AB - Postpartum hemorrhage (PPH) is the most cause of maternal mortality all over the world important. Its prevalence is about 4 cases in 10,000 deliveries. However, the risk of maternal death is nearly 16% of all maternal deaths in developing countries, especially in Africa. It depends on the resources to stop bleeding, medical and surgical. The first ones are uterotonics medication (prostaglandin, methylergonovine and oxytocin), and the latest professional apt to perform surgical procedures, such as B-Lynch surgery and the peripartum hysterectomy. A woman, 20 years old, GI, P0, A0, with a single pregnancy, 42 weeks of gestational age and 5 prenatal bookings was attended at the emergency on April 12th 2015. The next day the patient delivered a male baby. The uterus was soft and at the examination she expelled a great amount of clots. She was prescribed Ringer lactate 500 ml + oxytocin 15 IU + methylergonovine 0.2 mg IM + misoprostol 800 µg per rectum. She continued bleeding and a hysterectomy was performed. The patient was discharge in good condition. The pathology revealed myometrium permeated by trophoblasts (placenta accreta). VL - 4 IS - 6 ER -