{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T16:26:23Z","timestamp":1776788783747,"version":"3.51.2"},"reference-count":3,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2007,2,21]],"date-time":"2007-02-21T00:00:00Z","timestamp":1172016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>: To find out the incidence, indications and outcomes of emergency peripartum hysterectomy in the nulliparous woman. <jats:italic>Method<\/jats:italic>: Retrospective study at the Korle Bu Teaching Hospital in Accra, Ghana, between January 1995 and December 2003. <jats:italic>Results<\/jats:italic>: During the eight\u2010year study period there were 92,966 deliveries out of which 36,550 (39.5%) were for the nulliparous. Peripartum hysterectomy was performed for 39 nulliparous women, thus giving an incidence of 1 per 1000 nulliparous deliveries. The indications for the hysterectomy were: atonic uterus 28 (71.8%), ruptured uterus 8 (20.5%) and placenta praevia\/accreta 3 (7.7%). The perinatal losses were 8 (20.5%) and the total blood loss ranged from 1 to 4.5\u00a0l. There were no maternal deaths but there were 7 near\u2010missed fatalities. <jats:italic>Conclusion<\/jats:italic>: Though rare, peripartum hysterectomy in the nulliparous patients carries high maternal morbidity and perinatal mortality.<\/jats:p>","DOI":"10.1016\/j.ijgo.2006.11.018","type":"journal-article","created":{"date-parts":[[2007,2,22]],"date-time":"2007-02-22T14:27:24Z","timestamp":1172154444000},"page":"45-46","source":"Crossref","is-referenced-by-count":3,"title":["Emergency peripartum hysterectomy in the nulliparous patient"],"prefix":"10.1002","volume":"97","author":[{"given":"J.D.","family":"Seffah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.A.","family":"Kwame\u2010Aryee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,2,21]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.12.014"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)30110-4"},{"key":"e_1_2_2_4_2","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1177\/004947559402400226","article-title":"Obstetric uterine ruptures in a rural area in Zaire","volume":"24","author":"Longombe A.O.","year":"1994","journal-title":"Trop Doct"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729206005698?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729206005698?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2006.11.018","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2006.11.018","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2006.11.018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T06:56:23Z","timestamp":1696402583000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2006.11.018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,2,21]]},"references-count":3,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1016\/j.ijgo.2006.11.018"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2006.11.018","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,2,21]]}}}