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  • Hysterectomy in the early postpartum period: prevalence and risk factors

    Редактор | 2025, Literature reviews, Practical medicine part 23 №2. 2025 | 24 апреля, 2025

    V.B. TSKHAY1

     1V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk

    Contact details:

    Tskhay V.B. — MD, Professor, Head of the Department of Perinatology, Obstetrics and Gynecology

    Address: 2 Akademika Kirenskogo St., A/1, 660074 Krasnoyarsk, Russian Federation, tel.: +7-923-287-21-34, e-mail: tchai@yandex.ru

    Peripartum hysterectomy (PHE) can lead to crucial morbidity and mortality.Peripartum hysterectomy is defined as hysterectomy within 6 weeks of delivery and as a complication of postpartum hemorrhage. A peripartum hysterectomy is typically performed as a lifesaving procedure in obstetrics to manage severe postpartum hemorrhage. Severe hemorrhages that lead to peripartum hysterectomies are mainly caused by uterine atony and placenta accreta spectrum disorders.

    The purpose was to estimate the incidence of PHE after severe bleeding during labor and to investigate the causes, risk factors and methods of treatment for this complication. The most common complications of PHE were also analyzed.

    Key words: emergency peripartum hysterectomy, postpartum hemorrhage, abnormal placentation, cesarean section, maternal morbidity, maternal mortality.

    REFERENCES

    1. Zhang Y., Yan J., Han Q. et al. Emergency obstetric hysterectomy for life-threatening postpartum hemorrhage: A 12-year review. Medicine (Baltimore), 2017, vol. 96 (45), p. 8443. DOI: 10.1097/MD.0000000000008443
    2. Fang Z., Zhang .H, Zheng S. et al. A retrospective analysis of emergency hysterectomy intervention strategy in obstetrics. Pak. J. Med. Sci, 2022, vol. 38 (3 part-I), pp. 645–651. DOI: 10.12669/pjms.38.3.5335
    3. van den Akker T., Brobbel C., Dekkers O.M., Bloemenkamp K.W. Prevalence, indications, risk indicators, and outcomes of emergency peripartum hysterectomy worldwide: a systematic review and meta‐analysis. Obstet. Gynecol, 2016, vol. 128, pp. 1281–1294. DOI: 10.1097/AOG.0000000000001736
    4. Jakobsson M., Tapper A.M., Colmorn L.B. et al. Emergency peripartum hysterectomy: results from the prospective Nordic Obstetric Surveillance Study (NOSS). Acta Obstet. Gynecol. Scand, 2015, vol. 94, pp. 745–754. DOI: 10.1111/aogs.12644
    5. Kallianidis A.F., Maraschini A. et al. Epidemiological analysis of peripartum hysterectomy across 9 European countries. Acta Obstet. Gynecol. Scand, 2020, vol. 99, pp. 1364–1373. DOI: 10.1111/aogs.13892
    6. de la Cruz C.Z., Thompson E.L., O’Rourke K., Nembhard W.N. Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review. Arch. Gynecol. Obstet, 2015, vol. 292 (6), pp. 1201–1215. DOI: 10.1007/s00404-015-3790-2
    7. Huque S., Roberts I., Fawole B. et al. Risk factors for peripartum hysterectomy among women with postpartum haemorrhage: analysis of data from the WOMAN trial. BMC Pregnancy Childbirth, 2018, vol. 18, p. 186. DOI: 10.1186/s12884-018-1829-7
    8. Wang L., Pan J.Y. Predictive model for postpartum hemorrhage requiring hysterectomy in a minority ethnic region. World J. Clin. Cases, 2024, vol. 12 (22), pp. 4865–4872. DOI: 10.12998/wjcc.v12.i22.4865
    9. Tahaoglu A.E., Balsak D., Togrul C. et al. Emergency peripartum hysterectomy: our experience. Ir. J. Med. Sci, 2016, vol. 185 (4), pp. 833–838. DOI: 10.1007/s11845-015-1376-4
    10. Rossiyskoe obshchestvo akusherov-ginekologov. Proekt klinicheskikh rekomendatsiy “Poslerodovoe krovotechenie”, 2025 [Russian Society of Obstetricians and Gynecologists. Draft clinical guidelines «Postpartum hemorrhage», 2025]. file:///C:/Users/user/Downloads/Poslerodovoe%20rrovotechenie.pdf
    11. Tasneem F., Shanbhag V. Obstetric hysterectomy: a receding trend. Int. J. Reprod. Contracept. Obstet. Gynecol, 2019, vol. 8, pp. 353–358.
    12. de la Cruz C.Z., Thompson E.L., O’Rourke K., Nembhard W.N. Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review. Arch. Gynecol. Obstet, 2015, vol. 292 (6), pp. 1201–1215. DOI: 10.1007/s00404-015-3790-2
    13. Pettersen S., Falk R.S., Vangen S., Nyfløt L.T. Peripartum hysterectomy due to severe postpartum hemorrhage: A hospital-based study. Acta Obstet. Gynecol. Scand, 2022, vol. 101 (7), pp. 819–826. DOI: 10.1111/aogs.14358
    14. Verma A., Sharma G., Kashyap M. A retrospective analysis of emergency obstetric hysterectomy: a life-saving intervention. Cureus, 2023, vol. 15 (10), pp. 46758. DOI: 10.7759/cureus.46758
    15. Lama S., Todi S., Shrestha R., Acharya S. Peripartum hysterectomy among patients admitted to the Department of obstetrics and gynaecology in a Tertiary Care Centre: A descriptive cross-sectional study. JNMA J. Nepal Med. Assoc, 2023, vol. 61 (261), pp. 400–403. DOI: 10.31729/jnma.8162
    16. Jauniaux E., Ayresde Campos D., Langhoff Roos J. et al.; FIGO placenta accreta diagnosis and management expert consensus panel. FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders. Int. J. Gynaecol. Obstet, 2019, vol. 146 (1), pp. 2024. DOI: 10.1002/ijgo.12761
    17. Escobar M.F., Nassar A.H., Theron G. et al.; FIGO safe motherhood and newborn health committee. FIGO recommendations on the management of postpartum hemorrhage 2022. Int. J. Gynaecol. Obstet, 2022, vol. 157 (1), pp. 3–50. DOI: 10.1002/ijgo.14116
    18. Arakaza A., Zou L., Zhu J. Placenta accrete spectrum diagnosis challenges and controversies in current obstetrics: a review. Int. J. Womens Health, 2023, vol. 15, pp. 635–54. DOI: 10.2147/IJWH.S395271
    19. Polishchuk V.V., Mogorovskaya A.V., Lyashenko E.N. et al. Experience with metroplasty in placenta accreta and the presence of three uterine scars. Siberian Medical Review. Sibirskoe meditsinskoe obozrenie. 2024, no. 4, pp. 113–116 (in Russ.). DOI: 10.20333/25000136-2024-4-113-116
    20. Olenev A.S., Vuchenovich Yu.D., Novikova V.A., Radzinskiy V.E. Bleeding as a cause of missed and completed maternal mortality in a metropolis. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie, 2019, no. 7 (3), pp. 9–19 (in Russ.). DOI: 10.31550/2712-8598-ZhZiR-2023-4-1
    21. Sundermann A.C., Cate J.M., Campbell A.K. et al. Maternal morbidity and mortality among patients with cancer at time of delivery. Am. J. Obstet. Gynecol, 2023, vol. 229 (3), pp. 324–327. DOI: 10.1016/j.ajog.2023.06.008
    22. Fonseca A., Ayres de Campos D. Maternal morbidity and mortality due to placenta accreta spectrum disorders. Best Pract. Res. Clin. Obstet. Gynaecol, 2021, vol. 72, pp. 84–91. DOI: 10.1016/j.bpobgyn.2020.07.011
    23. Allen L., Jauniaux E., Hobson S. et al. FIGO consensus guidelines on placenta accreta spectrum disorders: nonconservative surgical management. Int. J. Gynaecol. Obstet, 2018, vol. 140 (3), pp. 281–290. DOI: 10.1002/ ijgo.124092
    24. Campbell S.M., Corcoran P., Manning E., Greene R.A. Irish maternal morbidity advisory group. Peripartum hysterectomy incidence, risk factors and clinical characteristics in Ireland. Eur. J. Obstet. Gynecol. Reprod. Biol, 2016, vol. 207, pp. 56–61. DOI: 10.1016/j.ejogrb.2016.10.008.
    25. Pradhan M., Shao Y. Emergency Peripartum hysterectomy as postpartum hemorrhage treatment: incidence, risk factors, and complications. JNMA J. Nepal Med. Assoc, 2014, vol. 52 (193), pp. 668–676.
    26. Vural T., Bayraktar B., Karaca S.Y. et al. Indications, risk factors, and outcomes of emergency peripartum hysterectomy: A 7-year retrospective study at a tertiary center in Turkey. Malawi Med. J, 2023, vol. 35 (1), pp. 31–42. DOI: 10.4314/mmj.v35i1.7
    27. Abidi I., Bettaieb H., Souayeh N. et al. Etude rétrospective sur 70 cas d´hystérectomie d´hémostase dans le département de gynécologie obstétrique de l´Hôpital de Ben Arous, Tunisie. Pan. Afr. Med. J, 2022, vol. 42, p. 172. DOI: 10.11604/pamj.2022.42.172.34423
    28. Makukhina T.B., Penzhoyan G.A., Model’ G.Yu., Dontsova M.V. Outcomes of pregnancies with high risk of placenta accreta depending on the order of assistance during childbirth. Zhenskoe zdorov’e i reproduktsiya, 2023, no. 4 (59) (in Russ.). DOI: 10.31550/2712-8598-ZhZiR-2023-4-1
    29. Barinov S.V., Dikke G.B., Shmakov R.G. Balloon tamponade of the uterus in the prevention of massive obstetric bleeding. Akusherstvo i ginekologiya, 2019, no. 8, pp. 5–11 (in Russ.). DOI: 10.18565/aig.2019.8.5-11
    30. Barinov S.V., Tirskaya Yu.I., Kadtsyna T.V. et al. Childbirth in a pregnant woman with placenta accreta and a scar on the uterus after cesarean section with the formation of a placental hernia. Klinicheskoe nablyudenie. Akusherstvo i ginekologiya, 2020, no. 6, pp. 141–146 (in Russ.). DOI: 10.18565/aig.2020.6.141-146
    31. Wright J.D., Pri-Paz S., Herzog T.J. et al. Predictors of massive blood loss in women with placenta accreta. Am. J. Obstet. Gynecol, 2011, vol. 205 (1), pp. 38.e1–6. DOI: 10.1016/j.ajog.2011.01.040
    32. Eller A.G., Bennett M. A., Sharshiner M. et al. Maternal morbidity in cases of placenta accreta managed by a multidisciplinary care team compared with standard obstetric care. Obstet. Gynecol, 2011, vol. 117 (2 part 1), pp. 331–337. DOI: 10.1097/aog.0b013e3182051db2
    33. Shmakov R.G., Pirogova M.M., Vasil’chenko O.N. et al. Organ-preserving surgeries for abnormal placental invasion (5-year experience of the V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology). Doktor. Ru, 2019, no. 11 (166), pp. 29–34 (in Russ.). DOI: 10.31550/1727-2378-2019-166-11-29-34
    34. Sukhikh G.E., Shmakov R.G., Kurtser M.A. et al. Surgical treatment for placenta accreta in the Russian Federation (a pilot multicenter study). Akusherstvo i ginekologiya, 2024, no. 1, pp. 50–66 (in Russ.). DOI: 10.18565/aig.2023.306
    35. van Beekhuizen H.J., Stefanovic V., Schwickert A. et al. A multicenter observational survey of management strategies in 442 pregnancies with suspected placenta accreta spectrum. Acta Obstet. Gynecol. Scand, 2021, vol. 100 (1), pp. 12–20. DOI: 10.1111/aogs.14096
    36. Overton E., Wen T., Friedman A.M. et al. Outcomes associated with peripartum hysterectomy in the setting of placenta accreta spectrum disorder. Am. J. Obstet. Gynecol, 2023, vol. 5 (12), pp. 101–174. DOI: 10.1016/j.ajogmf.2023.101174
    37. Amadi S.C., Ononuju C.N., Abam D.S. et al. Post emergency obstetric hysterectomy morbidities in the University of Port Harcourt Teaching Hospital — a five-year review. Niger Med. J, 2022, vol. 62 (6), pp. 334–339. DOI: 10.60787/NMJ-62-6-64
    38. Boerma T., Ronsmans C., Melesse D.Y. et al. Global epidemiology of use of and disparities in caesarean sections. Lancet, 2018, vol. 392 (10155), pp. 1341–1348. DOI: 10.1016/S0140-6736(18)31928-7
    39. Betran A.P., Ye J., Moller A.B. et al. Trends and projections of caesarean section rates: global and regional estimates. BMJ Glob. Health, 2021, vol. 6 (6). e005671. DOI: 10.1136/bmjgh-2021-005671
    40. Kallianidis A.F., Rijntjes D., Brobbel C. et al. incidence, indications, risk factors, and outcomes of emergency peripartum hysterectomy worldwide: a systematic review and meta-analysis. Obstet. Gynecol, 2023, vol. 141 (1), pp. 35–48. DOI: 10.1097/AOG.0000000000005022

    Метки: 2025, abnormal placentation, cesarean section, emergency peripartum hysterectomy, maternal morbidity, maternal mortality, postpartum hemorrhage, Practical medicine part 23 №2. 2025, V.B. TSKHAY

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