Epidemiological Analysis of Peripartum Hysterectomy in Lorestan Province During ۲۰۱۱-۲۰۱۹

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 ۲۰۱۱ and ۲۰۱۹ in educational hospitals of Lorestan University of Medical Sciences, Iran. For this purpose, using a researcher-made information form, information on ۱۵۰ peripartum hysterectomies was collected over a ۹-year period based on the hospital records of the study units, and data analysis was performed using SPSS version ۱۹ software and descriptive statistics of frequency, mean, and standard deviation. The incidence of peripartum hysterectomy has been reported to be ۰.۶۲ per ۱۰۰۰ births. In this study, the most common cause of peripartum hysterectomy was placental adhesions (۶۰%) and uterine atony (۵۴%), and ۶۶% of peripartum hysterectomies were reported in individuals with a history of previous cesarean section. The mortality rate of mothers undergoing peripartum hysterectomy was ۲%. 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 ۲% 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.

کلیدواژه ها:

Peripartum emergency hysterectomy ، Placental adhesion ، Mortality rate of mothers ، Iran