Sterilization by cesarean hysterectomy.

A study of 112 cesarean hysterectomies is presented. They were performed in a 220-bed community hospital by six obstetricians in private practice. Eighty-nine cases were planned during the prenatal course of uncomplicated pregnancies. Twenty-three were unplanned and were performed because of severe medical, surgical, or obstetric problems. Postoperative performance and rate of complications were more favorable in the planned group. True indications for cesarean hysterectomy are discussed. In selected cases, sterilization by cesarean hysterectopmy may be the procedure of choice at the time of repeat cesarean section.