Obstetrics and gynaecology

Placenta previa

Biology

Uterine atony

Surgery

Receptor

Fetus

Receptor tyrosine kinase

Uterus

Genetics

Placenta

Hysterectomy

Physics

Retrospective cohort study

Uterine rupture

Placenta accreta

Optics

Atony

Erythropoietin-producing hepatocellular (Eph) receptor

Internal medicine

Obstetrics

Gynecology

Medicine

Incidence (geometry)

Pregnancy

Medicina

Background and Objectives: Emergency peripartum hysterectomy (EPH) is a life-saving surgical procedure performed when medical and surgical conservative measures fail to control postpartum hemorrhage. The objective of this study was to estimate the incidence of EPH and to determine the factors leading to this procedure and the maternal outcomes. Materials and Methods: A retrospective cohort study with all cases of EPH performed at Filantropia Clinical Hospital in Bucharest between January 2012 and May 2021. Results: There were 36 EPH, from a total of 36,099 births recorded. The overall incidence of EPH was 0.99 per 1000 deliveries, most cases being related to placenta accreta spectrum disorder and uterine atony. Conclusions: Peripartum hysterectomy is associated with an important maternal morbidity rate and severe complications. Efforts should be made to reduce the number of unnecessary cesarean deliveries.

Incidence of Emergency Peripartum Hysterectomy in a Tertiary Obstetrics Unit in Romania