ArticleActa obstetricia et gynecologica Scandinavica2022
Peripartum hysterectomy due to severe postpartum hemorrhage: A hospital-based study.
Article in Acta obstetricia et gynecologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 24 citations in OpenAlex.
- Case report on resistant postpartum hemorrhage during cesarean section treated with a modified quadruple uterine belt suture technique for uterus preservation.BMC pregnancy and childbirth · 2026Article
- Contemporary Approach to Postpartum Hemorrhage: Early Diagnosis and Evidence-Based Therapeutic Management.Cureus · 2026Review
- Hysterectomy for postpartum hemorrhage in Japan: Diagnostic code validation and nationwide descriptive analysis.The journal of obstetrics and gynaecology research · 2025Article
- Postpartum hemorrhage: risk factors for severe blood loss, surgical intervention and peripartum hysterectomy.Archives of gynecology and obstetrics · 2025Article
- The effect of preoperative intravenous iron administration on patient outcomes in the spectrum of placenta accreta: a retrospective case-control study.BMC pregnancy and childbirth · 2025Article
- Article
- Risk factors for postpartum hemorrhage in critically ill pregnant women with placenta previa and construction of a dynamic nomogram model.American journal of translational research · 2025Article
- Management of Postpartum Hemorrhage in Low- and Middle-Income Countries: Emergency Need for Updated Approach Due to Specific Circumstances, Resources, and Availabilities.Journal of clinical medicine · 2024Review
- Predictive model for postpartum hemorrhage requiring hysterectomy in a minority ethnic region.World journal of clinical cases · 2024Article
- The incidence, indications, risk factors and pregnancy outcomes of peripartum hysterectomy at a tertiary hospital between 2013 and 2022.Archives of gynecology and obstetrics · 2024Article
- Resuscitative endovascular balloon occlusion of the aorta (REBOA) as adjunct treatment in life threatening postpartum hemorrhage: Fourteen years' experience from a single Norwegian center.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Effect of intraoperative cell salvage on coagulation function outcomes in patients with massive post-Cesarean section hemorrhage.American journal of translational research · 2024Article
- Application of intraoperative abdominal aortic balloon occlusion for bleeding during cesarean section in pernicious placenta previa.American journal of translational research · 2024Article
- Uterine sacrifice in obstetric emergencies case series: Complex cases of fetal distress, labor challenges, and life-saving interventions.SAGE open medical case reports · 2024Article
- Peripartum hysterectomy due to severe postpartum hemorrhage: A hospital-based study.Acta obstetricia et gynecologica Scandinavica · 2022Article
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Authors and funding
4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionA peripartum hysterectomy is typically performed as a lifesaving procedure in obstetrics to manage severe postpartum hemorrhage. Severe hemorrhages that lead to peripartum hysterectomies are mainly caused by uterine atony and placenta accreta spectrum disorders. In this study, we aimed to estimate the incidence, risk factors, causes and management of severe postpartum hemorrhage resulting in peripartum hysterectomies, and to describe the complications of the hysterectomies. MATERIAL AND
methodsEligible women had given birth at gestational week 23+0 or later and had a postpartum hemorrhage ≥1500 mL or a blood transfusion, due to postpartum hemorrhage, at Oslo University Hospital, Norway, between 2008 and 2017. Among the eligible women, this study included those who underwent a hysterectomy within the first 42 days after delivery. The Norwegian Medical Birth Registry provided the reference group. We used Poisson regression to estimate adjusted incidence rate ratios with 95% confidence intervals to identify clinical factors associated with peripartum hysterectomy.
resultsThe incidence of hysterectomies with severe postpartum hemorrhage was 0.44/1000 deliveries (42/96313). Among the women with severe postpartum hemorrhage, 1.6% ended up with a hysterectomy (42/2621). Maternal age ≥40, previous cesarean section, multiple pregnancy and placenta previa were associated with a significantly higher risk of hysterectomy. Placenta accreta spectrum disorders were the most frequent cause of hemorrhage that resulted in a hysterectomy (52%, 22/42) and contributed to most of the complications following the hysterectomy (11/15 women with complications).
conclusionsThe rate of peripartum hysterectomies at Oslo University Hospital was low, but was higher than previously reported from Norway. Risk factors included high maternal age, previous cesarean section, multiple pregnancy and placenta previa, well known risk factors for placenta accreta spectrum disorders and severe postpartum hemorrhage. Placenta accreta spectrum disorders were the largest contributor to hysterectomies and complications.
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