Prevalencia de histerectomía obstétrica en el manejo de hemorragia postparto en el Hospital General Monte Sinaí durante el periodo 2022 – 2024.

Abstract

Introduction: Hysterectomy, used as a last resort in cases of uncontrollable postpartum hemorrhage, is one of the leading causes of maternal morbidity and mortality worldwide. Objective: To estimate the prevalence of obstetric hysterectomy in the management of postpartum hemorrhage at Monte Sinaí General Hospital during the period 2022 to 2024. Methodology: This study is descriptive, observational, retrospective, and cross-sectional. Results: A total of 162 women who suffered postpartum hemorrhage and were treated at Monte Sinaí General Hospital between 2022 and 2024 were identified. The prevalence of obstetric hysterectomy was 16.0%. Most of the patients who underwent this procedure had had between one and two pregnancies (61.5%) and between one and two deliveries (46.2%). The most common type of hemorrhage was immediate (65.4%). Uterine atony was the main cause (80.8%), followed by uterine rupture (11.6%). The most common maternal complications were surgical site infection (19.2%), intraoperative hemorrhage, and pelvic abscess (11.5% each). Conclusion: The high prevalence of obstetric hysterectomies, mainly due to uterine atony, mostly at the expense of immediate postpartum hemorrhage, highlights the need to strengthen childbirth management protocols, early monitoring, and interventions that reduce maternal morbidity.