Skip to main content

Advertisement

SpringerLink
Log in

Peripartum hysterectomy in 38 hospitals in China: a population-based study

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

To investigate the incidence, indications, risk factors and transfusions of peripartum hysterectomy in China.

Methods

A population-based study was conducted using inpatient records of 38 hospitals between 1 January 2011 and 31 December 2011; multivariate logistic regression analysis was used to identify independent risk factors for peripartum hysterectomy.

Results

During the study period, there were 43 peripartum hysterectomy cases out of 114,420 deliveries (0.38 ‰). Abnormal placentation was major indication for peripartum hysterectomy. Several factors significantly increased the risk of peripartum hysterectomy in this population: placenta previa/accreta [adjusted odds ratio (aOR) 49.7, 95 % CI 25.0–98.9], maternal age ≥35 years (aOR 8.1, 95 % CI 4.0–16.0), preeclampsia/eclampsia (aOR 7.5, 95 % CI 2.6–21.7), cesarean delivery (aOR 3, 95 % CI 1.1–8.0), and multiparity (aOR 2.7, 95 % CI 1.2–5.4). In contrast, multiple gestations did not.

Conclusions

Placenta previa/accreta, maternal age ≥35 years, preeclampsia/eclampsia, cesarean delivery and multiparity were risk factors of peripartum hysterectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bateman BT, Mhyre JM, Callaghan WM, Kuklina EV (2012) Peripartum hysterectomy in the United States: nationwide 14 year experience. Am J Obstet Gynecol 206(1):63.e1-8

    Article  PubMed  Google Scholar 

  2. Yalinkaya A, Guzel AI, Kangal K (2010) Emergency peripartum hysterectomy: 16 year experience of a medical hospital. J Chin Med Assoc 73(7):360–363

    Article  PubMed  Google Scholar 

  3. Jou HJ, Hung HW, Ling PY, Chen SM, Wu SC (2008) Peripartum hysterectomy in Taiwan. Int J Gynaecol Obstet 101(3):269–272

    Article  PubMed  Google Scholar 

  4. Chestnut DH, Eden RD, Gall SA, Parker RT (1985) Peripartum hysterectomy: a review of cesarean and postpartum hysterectomy. Obstet Gynecol 65:365–370

    CAS  PubMed  Google Scholar 

  5. Clark SL, Yeh SY, Phelan JP, Bruce S, Paul RH (1984) Emergency peripartum hysterectomy for obstetric hemorrhage. Obstet Gynecol 64:376–380

    CAS  PubMed  Google Scholar 

  6. Zelop CM, Harlow BL, Frigoletto FD, Safon LE, Saltzman DH (1993) Emergency peripartum hysterectomy. Am J Obstet Gynecol 168:1443–1448

    Article  CAS  PubMed  Google Scholar 

  7. Clark SL, Koonings PP, Phelan JP (1985) Placenta previa/accreta and prior cesarean section. Obstet Gynecol 66:89–92

    CAS  PubMed  Google Scholar 

  8. Miller DA, Chollet JA, Goodwin TM (1997) Clinical risk factors for placenta previa-placenta accreta. Am J Obstet Gynecol 177:210–214

    Article  CAS  PubMed  Google Scholar 

  9. NHS maternity statistics, England; 2004–05. Leeds (UK): the information centre for health and social care: 2006. Available at: http://www.ic.nhs.uk/statistics-and-data-collections/hospital-care/maternity/nhs-maternity-statisticsengland-2004-05. Accessed Oct 18, 2007

  10. Hamilton BE, Martin JA, Ventura SJ (2007) Births: preliminary data for 2006. Natl Vital Stat Rep 56:1–18

    PubMed  Google Scholar 

  11. Lumbiganon P, Laopaiboon M, Gülmezoglu AM, Souza JP, Taneepanichskul S, Ruyan P et al (2010) Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007–08. Lancet 375(9713):490–499

    Article  PubMed  Google Scholar 

  12. Knight M, Kur inczuk JJ, Spark P et al (2008) Cesarean de livery and peripartum hysterectomy [J]. Obstet Gynecol 111:97–105

    Article  PubMed  Google Scholar 

  13. Kayabasog lu F (2008) Emergency peripartum hysterectomy in a tertiary Istanbul hospital [J]. Arch Gynecol Obstet 278:251–256

    Article  Google Scholar 

  14. Flood KM, Sa id S, Geary M et al (2009) Changing trends in peripartum hysterectomy over the last 4 decades [J]. Am J Obstet Gynecol 200:632. e1–632. e6

    Article  Google Scholar 

  15. Sakse A, Weber T, Nickelsen C, Secher NJ (2007) Peripartum hysterectomy in Denmark 1995–2004. Acta Obstet Gynecol Scand 86(12):1472–1475

    Article  PubMed  Google Scholar 

  16. Chen M, Zhang L, Wei Q et al (2012) Peripartum hysterectomy between 2009 and 2010 in Sichuan, China. Int J Gynecol Obstet 120:183–186. doi:10.1016/j.ijgo.2012.09.012

    Article  Google Scholar 

  17. Bai SW, Lee HJ, Cho JS, Park YW, Kim SK, Park KH (2003) Peripartum hysterectomy and associated factors. J Reprod Med 48(3):148–152

    PubMed  Google Scholar 

  18. Karayalcm R, O¨zcan S, O¨zyer S, Mollamahmutog˘lu L, Danisman N (2011) Emergency peripartum hysterectomy. Arch Gynecol Obstet 283:723–727

    Article  Google Scholar 

  19. Rossi AC, Lee RH, Chmait RH (2010) Emergency postpartum hysterectomy for uncontrolled postpartum bleeding: a systematic review. Obstet Gynecol 115(3):637–644

    Article  PubMed  Google Scholar 

  20. Bodelon C, Bernabe-Ortiz A, Schiff MA et al (2009) Factors assoiated with peripartum hysterectomy [J]. Obste t Gynecol 114:115–123

    Google Scholar 

Download references

Acknowledgments

The Prevention and Treatment of Postpartum Hemorrhage Program was supported by the Science and Technology Department of Sichuan Province (2010FZ0078) and the Ministry of Health of the People’s Republic of China (201002013).

Conflict of interest

The authors have no conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, No. 20, Section 3, Ren Min Nan Lu, Chengdu, 610041, Sichuan, China

    Qiang Wei, Meng Chen, Li Zhang, Guolin He & Xinghui Liu

  2. Department of Obstetrics and Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Fengtai, China

    Weiyuan Zhang

Authors
  1. Qiang Wei
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Weiyuan Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Meng Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Li Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Guolin He
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Xinghui Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Xinghui Liu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wei, Q., Zhang, W., Chen, M. et al. Peripartum hysterectomy in 38 hospitals in China: a population-based study. Arch Gynecol Obstet 289, 549–553 (2014). https://doi.org/10.1007/s00404-013-3002-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-013-3002-x

Keywords

Search

Navigation