Table 3.
Maternal Morbidity
Cesarean Hysterectomy N = 7 n (%) |
Cesarean section prior to Delayed Hysterectomy N = 13 n (%) |
Delayed Hysterectomy N = 13 n(%) |
|
---|---|---|---|
Estimated blood loss | 2800 [400–4500] | 900 [400–1500] | 750 [50–2000] |
Total number of PRBC units transfused | 2[0–10] | 0[0–3] | 0[0–4] |
Total number of patients requiring PRBC | 5 (71) | 1 (8) | 5 (38) |
≤ 4 units | 3 (43) | 1 (8) | 5 (38) |
4 units | 2 (29) | 0 | 0 |
Infection | |||
Total | 3 (43) | 4 (31) | 5 (38) |
Endometritis | N/A | 2 (15) | N/A |
Wound Infection | 3 (43) | 0 | 2 (15) |
Urinary Tract | 0 | 2 (15) | 2 (15) |
Vaginal cuff Cellulitis | 0 | N/A | 1 (8) |
Coagulopathya | 2 (29) | 0 | 2 (15) |
Unplanned admission to the ICU | 0 | 0 | 0 |
Venous thromboembolism | 1 (14) | 1 (8) | 0 |
Urologic injury | |||
Total | 2 (29) | 0 | 3 (23) |
Ureteral | 0 | 0 | 1 (8) |
Unintentional cystotomy | 2 (29) | 0 | 2 (15) |
Interventional radiology complications | 0 | 4 (31) | N/A |
Paresthesia | 0 | 1 (8) | |
Transient hypoxia | 0 | 1 (8) | |
Ischemia (uterus) | 0 | 1 (8) | |
Gluteal ulcer | 0 | 1 (8) | |
Methotrexate toxicity | N/A | 0 | N/A |
Spontaneous delivery of placenta prior to DH | N/A | 1 (8) | N/A |
Length of hospital stay (days) | 3 [3–4] | 4 [3–30] | 4[1–10] |
Hospital readmission | 1 (14) | 5 (38) | 2 (15) |
Wound infection | 1 (14) | 0 | 0 |
Pain | 0 | 4 (31) | 0 |
Bleeding | 0 | 1 (8) | 0 |
Ileus | 0 | 0 | 1 (8) |
Drainage of Uroma | 0 | 0 | 1 (8) |
Emergency department visit | 1 (14) | 2 (15) | 0 |
Data are n (%) or median [range]
aCoagulopathy that required correction