Abstract
Objective: To determine the incidence, indications, risk factors, and complications associated with emergency postpartum hysterectomy (HPPE) in a public maternity hospital for high-risk care in the state of Amazonas. Methods: This was a descriptive, observational, cross-sectional study. , through medical records and surgery record books, cases of emergency postpartum hysterectomies performed from January 2016 to December 2017 were identified. Data were collected at the Manaus-Amazonas Hospital. Results: From 2016 to 2017, there were 16,978 deliveries in the city of Manaus-Amazonas, 6,873 (40.5%) corresponded to cesarean sections and 10,105 (59.5%) to vaginal deliveries. There were 14 cases of postpartum hysterectomy. of emergency, representing an incidence of 0.82 \ 1,000 deliveries; the most common indication was 50% uterine atonia followed by 29% placental accretism and 21% placenta previa. Conclusion: Uterine atony was the most common indication for HPPE in our Maternity and our hysterectomy rates after cesarean deliveries were nine times higher. larger than those following a vaginal delivery, therefore, we see the importance of adopting obstetric practices to encourage vaginal delivery, especially after the first cesarean delivery, which could minimize risks to current delivery and consequently lower our HPPE rates