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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