RESULTS
Of the twenty consecutive patients, ten had a Caesarean section with peripartum hysterectomy and ten were managed by Caesarean section using our technique. None of the woman had a Caesarean hysterectomy for failed conservative management. Five women in each group had the procedure performed electively between 34 and 36 weeks. The remainder needed emergency delivery for an intervening complication. All but one of the women who had had previous myomectomy and was delivered by CS with myometrial repair, had had at least one previous CS.
The groups were similar with respect to age and gestational age at delivery (Table 1). More women having hysterectomy had had two or more previous CS compared to women having CS and repair. The BMI was higher in the hysterectomy group although this did not reach statistical significance. The hysterectomy group had a longer surgical time (p=0.05). Estimated blood loss (EBL) and need for transfusion were lower in the myometrial repair group but these did not reach statistical significance. There was one bladder injury in the hysterectomy group but no visceral injury in the conservative myometrial repair group.