Amal Al Fana
Armed Forces Hospital, UAE
Title: Retrospective review of bladder injury in obstetric surgery
Biography
Biography: Amal Al Fana
Abstract
Bladder injuries and massive hemorrhage are the major complications encountered in caesarean section leading to peripartum hysterectomy as life saving measures especially with placenta praevia and with history of previous cesarean section, with increased risk of placenta accreta. All patients who underwent Caesarean sections from February 1, 2014 to February 28, 2015 at Armed Forces Hospital were reviewed and analyzed. The total number of deliveries in the time inclusion is 3494 (Fig.1). 18% of these total deliveries underwent Caesarean sections comprising of electives and emergencies, 12% (402) and 6% (222) respectively. All patients’ file were taken and reviewed accordingly, from antenatal to postnatal follow-up. Detailed history antenatal up to the time of admission, hospital stay and postnatal outpatient follow up were reviewed. The charts were analyzed comprehensively on the course of hospital management for bladder injury as complication of peripartum hysterectomy, indications and maternal risk factors, the types of hysterectomy, the incidence of blood transfusion, postoperative management and outcome.
