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Archives of Gynecology and Obstetrics

Published in:

01-03-2014 | Maternal-Fetal Medicine

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

Authors: Qiang Wei, Weiyuan Zhang, Meng Chen, Li Zhang, Guolin He, Xinghui Liu

Published in: Archives of Gynecology and Obstetrics | Issue 3/2014

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.

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Title: Peripartum hysterectomy in 38 hospitals in China: a population-based study
Authors: Qiang Wei
Weiyuan Zhang
Meng Chen
Li Zhang
Guolin He
Xinghui Liu
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 3/2014
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-3002-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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