Epidemiological Analysis of Peripartum Hysterectomy in Lorestan Province During 2011-2019

Ghasemi Mobarakabadi, Ali; Birjandi, Mehdi; Janani, Fatemeh

doi:10.22087/ijac.2023.503721.1046

Epidemiological Analysis of Peripartum Hysterectomy in Lorestan Province During 2011-2019

Document Type : Research

Authors

Ali Ghasemi Mobarakabadi ¹

Mehdi Birjandi ²

Fatemeh Janani ³

¹ School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran

² Lorestan University of Medical Sciences, Khorramabad, Iran

³ Midwifery and reproductive health department .nur-mid faculty .lums

10.22087/ijac.2023.503721.1046

Abstract

Peripartum emergency hysterectomy is a major life-saving surgery that is almost always performed in cases of severe and life-threatening bleeding. This retrospective cross-sectional study aimed to determine the epidemiological characteristics of mothers who underwent peripartum hysterectomy between 2011 and 2019 in educational hospitals of Lorestan University of Medical Sciences, Iran. For this purpose, using a researcher-made information form, information on 150 peripartum hysterectomies was collected over a 9-year period based on the hospital records of the study units, and data analysis was performed using SPSS version 19 software and descriptive statistics of frequency, mean, and standard deviation. The incidence of peripartum hysterectomy has been reported to be 0.62 per 1000 births. In this study, the most common cause of peripartum hysterectomy was placental adhesions (60%) and uterine atony (54%), and 66% of peripartum hysterectomies were reported in individuals with a history of previous cesarean section. The mortality rate of mothers undergoing peripartum hysterectomy was 2%. This study showed that the rate of hysterectomy related to childbirth is similar to that in developed countries and lower than that in neighboring Asian countries. Placental adhesions and uterine atony were the most common causes of peripartum hysterectomy. Maternal death due to uterine rupture was reported in 2% of the study units. Reducing non-indicated cesarean sections, greater care in managed deliveries, and the need for skilled personnel in managing high-risk situations can reduce the rate of hysterectomies related to childbirth and, consequently, maternal mortality.

Keywords

Peripartum emergency hysterectomy

Placental adhesion

Mortality rate of mothers

Iran

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