The survey of peripartum hysterectomy in Kermanshah’s hospitals, 2007-2011‎

Background: Despite the development in maternal care peripartum hysterectomies are increasing. The purpose of this study is the survey incidence rate, indications, demographic features and complications of peripartum hysterectomies in Kermanshah’s hospitals, 2007-2011.
Methods: 81 patients in 5 hospitals were studied during the years 2007-2011 in Kermanshah. Postpartum hysterectomy had been done on them during or within 24 hours after delivery.
Results: The rate of peripartum hysterectomy was one out of 1000 delivery. The mean age of mother was 34.3 years and the mean parity was 2.9. In 70.4% during cesarean and in 29.6% after vaginal delivery hysterectomy was done. Forty-four cases (54.3%) placenta adhesion, 19 cases (23.4%) uterine rapture, and 13 cases (13.4%) uterine atony were
operated (hysterectomy). Cor pulmonale was the most common complication due to extensive bleeding and transfusion in 39 cases (48.1%). Vesicle trauma in 13 cases and ureteral trauma in 7 cases occurred. Maternal death occurred in two cases.
Conclusion: The amount of hysterectomy peripartum was similar to developed countries and lower than neighbor Asian countries. The highest rate was from placenta adhesion and then uterine rapture. Uterine rapture is also considered as a cause of maternal death. Decrease in cesarean without medical indications and paying more attention during vaginal
delivery decreases peripartum hysterectomy and maternal death.