A cesarean hysterectomy is the removal of the uterus right after a cesarean section. This life saving procedure is not common and is usually done in cases of severe hemorrhage . The risk of a hysterectomy is higher for cesarean deliveries even though bleeding that requires a hysterectomy can happen in a normal vaginal delivery.
Women who have undergone a hysterectomy will not be able to have children. For this reasons, doctors try as much as possible to avoid it . However cesarean hysterectomy saves lives especially if other measures have not been able to control bleeding.
Planned cesarean hysterectomy
A hysterectomy may be planned in some cases. Even though it may be easier to have a hysterectomy after a cesarean rather than later, surgeons usually don’t plan that because of the risk of higher blood loss. In some circumstances, there is the need for this procedure to be done due to medical reasons unrelated to pregnancy. In this case, the mother’s health should be in good standing and her blood count should be high.
What are some of the reasons a woman may have a hysterectomy ?
A hysterectomy is done in the following circumstances.
- uterine fibroids
- endometriosis
- gynecological cancer
- abnormal uterine bleeding
- pelvic support problems such as uterine prolapse
- chronic pelvic pain
What are the complications accompanying a hysterectomy ?
A hysterotomy is one of the safest procedure out there. The main side effect is not being able to have children. However like any other surgery, there is a risk of
- infection
- heavy bleeding before and after the surgery
- blood clots in the legs that can travel to the lungs
- side effects of anesthesia such as breathing problems
- injury to nearby organs
- death
Content Sources
Cesarean Hysterectomy for Family Medicine
Physicians Practicing Obstetrics American Journal for Clinical Medicine. Cesarean Hysterectomy for Family Medicine
Physicians Practicing Obstetrics.http://www.aapsus.org/articles/20.pdf. Accessed November 1, 2015
Hysterectomy. American Congress of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Hysterectomy. Accessed November 1, 2015