ArticleArchives of gynecology and obstetrics2024
The incidence, indications, risk factors and pregnancy outcomes of peripartum hysterectomy at a tertiary hospital between 2013 and 2022.
Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.
- Risk factors for bladder injuries during cesarean sections: insights from a 15 year experience at a tertiary care center and a systematic review with meta-analysis.Archives of gynecology and obstetrics · 2024Pooled it
- Maternal characteristics, clinical indications, and neonatal outcomes in cesarean hysterectomy: A cross-sectional study.International journal of reproductive biomedicine · 2026Article
- Comparative efficacy of MRI versus ultrasound in prenatal diagnosis of placenta accreta spectrum disorders: a single-tertiary center study.Archives of gynecology and obstetrics · 2025Article
- Postpartum hemorrhage: risk factors for severe blood loss, surgical intervention and peripartum hysterectomy.Archives of gynecology and obstetrics · 2025Article
- 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
- Predictors and a scoring model for maternal near-miss and maternal death in Southern Thailand: a case-control study.Archives of gynecology and obstetrics · 2024Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the incidence, indications, risk factors and pregnancy outcomes of postpartum hemorrhage resulting in peripartum hysterectomy (PH).
methodsWe retrospectively reviewed patients with postpartum hemorrhage requiring surgical procedures at ≥ 28 weeks of gestation from January 1, 2013 to December 31, 2022 at a tertiary hospital in Shanghai, China. The patients were divided into a PH group and a non-PH group. Maternal clinical characteristics, the management of postpartum hemorrhage, pregnancy outcomes were compared between groups. Logistic regression was used to analyze the correlations between risk factors and PH.
resultsThe incidence of hysterectomy was 0.2/1000 deliveries (31/150194). The variables significantly associated with PH were placenta previa with placenta increta/percreta (OR36.26), uterine rupture (OR266.16) and an estimated blood loss ≥ 3513 mL (OR431.11). The proportion of cases involving hemorrhagic shock, disseminated intravascular coagulation, bladder injury, neonatal severe asphyxia, neonatal death and hypoxic-ischemic encephalopathy were significantly higher in the PH group (P < 0.05).
conclusionThe most common indications of PH were placental pathology. Efforts should be made to reduce the rate of cesarean deliveries and uterine curettage to lower the probability of abnormal placental invasion and appropriate medical indications for trial of labor after cesarean should be strictly followed to avoid the risk of uterine rupture.
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