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Table 3 Detailed information of laparotomies after childbirth

From: Laparotomy in women with severe acute maternal morbidity: secondary analysis of a nationwide cohort study

Total

 

VD

N = 55

CS

N = 160

P

Emergency

N = 113

Elective

N = 47

P

Indication*

Intra-abd. Bleeding

6 (10.9)

93 (58.1)

< 0.001

65 (57.5)

28 (59.6)

0.777

sPPH

34 (61.8)

49 (30.6)

36 (31.9)

13 (27.7)

Suspected rupture

12 (21.8)

1 (0.6)

1 (0.9)

0 (0.0)

Sepsis

4 (7.2)

7 (4.4)

6 (5.3)

1 (2.1)

Hematoma

0 (0.0)

4 (2.5)

3 (2.7)

1 (2.1)

Miscellaneous

9 (16.4)

11 (7.5)

6 (5.3)

5 (10.6)

Unknown

0 (0.0)

1 (0.6)

1 (0.9)

0 (0.0)

Time*

< 24 h

46 (83.6)

101 (63.1)

< 0.05

71 (62.8)

30 (63.8)

< 0.05

2-7d

5 (9.1)

43 (26.9)

30 (26.5)

13 (27.7)

>7d

4 (7.3)

12 (7.5)

11 (9.7)

1 (2.1)

Unknown

0 (0.0)

4 (2.9)

1 (0.9)

3 (6.4)

Intervention*

Arrest of bleeding:

-Abdominal wall

0 (0.0)

13 (8.1)

< 0.001

10 (8.9)

3 (6.4)

0.591

-Intra-abdominal

13 (23.6)

40 (25.0)

28 (24.8)

12 (25.5)

-CS scar

2 (3.6)

32 (20.0)

22 (19.5)

10 (21.3)

B-lynch procedure

1 (1.8)

8 (5.0)

7 (6.2)

1 (2.1)

Ligation

6 (10.9)

11 (6.9)

8 (7.1)

3 (6.4)

Hysterectomy

31 (56.4)

32 (20.0)

21 (18.6)

11 (23.4)

Drainage

3 (5.5)

9 (5.6)

7 (6.2)

2 (4.3)

Negative

2 (3.6)

19 (11.9)

16 (14.2)

3 (6.4)

Miscellaneous

10 (18.2)

24 (15.0)

18 (15.9)

6 (12.8)

Unknown

0 (0.0)

6 (3.8)

3 (2.7)

3 (6.4)

Number

1

43 (78.2)

129 (80.6)

0.26

88 (77.9)

41 (87.2)

0.44

≥2

10 (18.2)

30 (18.8)

24 (21.2)

6 (12.8)

Unknown

2 (3.6)

1 (0.6)

1 (0.9)

0 (0.0)

  1. CS cesarean section, VD vaginal birth, sPPH severe postpartum hemorrhage. Data is presented as number (%)
  2. *for 1st laparotomy