Trial reportBMC pregnancy and childbirth2018
Risk factors for peripartum hysterectomy among women with postpartum haemorrhage: analysis of data from the WOMAN trial.
Trial report in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Placenta Accreta Spectrum Disorders: A. Chohan Continuous Squeezing Suture (ACCSS) for Controlling Haemorrahge From Lower Uterine Segment at Caesarean Section
Uterine Preservation With Acar's Atony Suture for Postpartum Uterine Atony
Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- Tranexamic acid for postpartum bleeding: a systematic review and individual patient data meta-analysis of randomised controlled trials.Lancet (London, England) · 2024Pooled it
- Prophylactic Intraoperative Uterine Artery Embolization During Cesarean Section or Cesarean Hysterectomy in Patients with Abnormal Placentation: A Systematic Review and Meta-Analysis.Cardiovascular and interventional radiology · 2022Pooled it
- Intramyometrial and intravenous oxytocin compared to intravenous carbetocin for prevention of postpartum hemorrhage in elective cesarean section-A quasi-randomized controlled phase IV non-inferiority interventional trial.Acta obstetricia et gynecologica Scandinavica · 2024Trial
- Case control study on determinants of emergency peripartum hysterectomy among mothers managed at Hawassa University Comprehensive Specialized Hospital.BMC pregnancy and childbirth · 2026Article
- Comparison of maternal and neonatal outcomes between general anesthesia and combined spinal-epidural anesthesia in cesarean delivery for pregnancy complicated with placenta previa.BMC anesthesiology · 2025Article
- A Comprehensive Study on Peripartum Hysterectomy in Tehran, Iran: Causes and Clinical Outcomes.Archives of Iranian medicine · 2025Article
- Peripartum hysterectomy: prevalence, indications, maternal outcomes, and associated factors in a 7-year retrospective review at Wolaita Sodo University Comprehensive Specialized Hospital, Southern Ethiopia.BMC pregnancy and childbirth · 2025Article
- Critical Analysis of Peripartum Hysterectomies at Tertiary Care Centre of Northern India.Journal of obstetrics and gynaecology of India · 2025Article
- Article
- Preoperative ultrasound risk factors for peripartum hysterectomy among PAS suspected pregnancies.BMC pregnancy and childbirth · 2025Article
- Outcomes and prognosis of postpartum hemorrhage according to management protocol: an 11-year retrospective study from two referral centers.World journal of emergency surgery : WJES · 2024Article
- Timely use of Bakri intrauterine balloon tamponade contributes to the effectiveness in controlling severe postpartum hemorrhage.Experimental and therapeutic medicine · 2024Article
- Efficacy and safety of prophylactic balloon occlusion in the management of placenta accreta spectrum disorder: a retrospective cohort study.BMC women's health · 2024Article
- Efficacy of Bakri Intrauterine Balloon in Managing Postpartum Hemorrhage: A Comparative Analysis of Vaginal and Cesarean Deliveries with Placenta Accreta Spectrum Disorders.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Fluid resuscitation strategy in patients with placenta previa accreta: a retrospective study.Frontiers in medicine · 2024Article
- Prevalence and determinants of hysterectomy in India.Scientific reports · 2023Observational
- Bakri Balloon for Treatment of Postpartum Hemorrhage: A Real-World 2016-2020 Study in 279 Women from a Single Center.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Performance of Bakri balloon tamponade in controlling postpartum hemorrhage.American journal of translational research · 2023Article
- Prevalence, socio-demographic determinants, and self-reported reasons for hysterectomy and choice of hospitalization in India.BMC women's health · 2022Article
- Peripartum hysterectomy due to severe postpartum hemorrhage: A hospital-based study.Acta obstetricia et gynecologica Scandinavica · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundPeripartum hysterectomy can cause significant morbidity and mortality. Most studies of peripartum hysterectomy are from high income countries. This cohort study examined risk factors for peripartum hysterectomy using data from Africa, Asia, Europe and the Americas.
methodsWe used data from the World Maternal Antifibrinolytic (WOMAN) trial carried out in 193 hospitals in 21 countries. Peripartum hysterectomy was defined as hysterectomy within 6 weeks of delivery as a complication of postpartum haemorrhage. Univariable and multivariable random effects logistic regression models were used to analyse risk factors. A hierarchical conceptual framework guided our multivariable analysis.
resultsFive percent of women had a hysterectomy (1020/20,017). Haemorrhage from placenta praevia/accreta carried a higher risk of hysterectomy (17%) than surgical trauma/tears (5%) and uterine atony (3%). The adjusted odds ratio (AOR) for hysterectomy in women with placenta praevia/accreta was 3.2 (95% CI: 2.7-3.8), compared to uterine atony. The risk of hysterectomy increased with maternal age. Caesarean section was associated with fourfold higher odds of hysterectomy than vaginal delivery (AOR 4.3, 95% CI: 3.6-5.0). Mothers in Asia had a higher hysterectomy incidence (7%) than mothers in Africa (5%) (AOR: 1.2, 95% CI: 0.9-1.7).
conclusionsPlacenta praevia/accreta is associated with a higher risk of peripartum hysterectomy. Other risk factors for hysterectomy are advanced maternal age, caesarean section and giving birth in Asia.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.