Articles Vol. 66 No. 3 26/05/2025

2. CLINICAL CHARACTERISTICS OF CASES OF HYSTERECTOMY DURING AND AFTER DELIVERY AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL

Do Tuan Dat1,2,3,4, Nguyen Duy Hung1,3, Dinh Thi Thu Trang5,6, Phan Thi Huyen Thuong5,6, Ngo Phan Thanh Thuy2,4
1 Hanoi Obstetrics and Gynecology Hospital
2 Hanoi Medical University
3 Bệnh viện Phụ Sản Hà Nội
4 Trường Đại học Y Hà Nội
5 VNU University of Medicine and Pharmacy
6 Trường Đại học Y Dược, Đại học Quốc gia Hà Nội
Corresponding author: drdodatpshn@gmail.com
DOI: 10.52163/yhc.v66i3.2492
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Keywords
Hysterectomy Hanoi Obstetrics and Gynecology Hospital cesarean delivery vaginal delivery
Abstract

Objective: To describe the clinical characteristics of cases of hysterectomy during and after delivery at Hanoi Obstetrics and Gynecology Hospital from January 2019 to December 2023.

Materials and methods: A descriptive, cross-sectional, retrospective study on 276 cases of hysterectomy during and after delivery at Hanoi Obstetrics and Gynecology Hospital from January 2019 to December 2023.

Results: The rate of hysterectomy during and after delivery accounted for 0.16% of total deliveries. The average age of the subjects was 34.9 ± 4.7 years. Most of the women had a history of giving birth ≥ 2 times, accounting for 73.6% of hysterectomy cases, with the majority having had 2 previous cesarean sections. Most of the women had a history of at least one abortion, curettage, or suction (51.1%). Most of the women underwent cesarean delivery followed by hysterectomy during or immediately after the cesarean, while 23 cases had vaginal delivery followed by hysterectomy post-delivery.

Conclusions: A history of multiple births, especially cesarean sections, is a major risk factor for hysterectomy during and after delivery in subsequent pregnancies.

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