| Peripartum hysterectomy in the United States: nationwide 14 year experience. | |
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MedLine Citation:
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PMID: 21982025 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of the study was to examine the trends in the rate of peripartum hysterectomy and the contribution of changes in maternal characteristics to these trends. STUDY DESIGN: This was a cross-sectional study of peripartum hysterectomy identified from hospitalizations for delivery recorded in the 1994-2007 Nationwide Inpatient Sample. RESULTS: The overall rate of peripartum hysterectomy increased by 15% during the study period. The rate of hysterectomy for abnormal placentation increased by 1.2-fold; adjustment for previous cesarean delivery explained nearly all of this increase. The rate of hysterectomy for uterine atony following repeat cesarean delivery increased nearly 4-fold, following primary cesarean delivery approximately 2.5-fold, and following vaginal delivery about 1.5-fold. This fast growing trend in peripartum hysterectomy secondary to uterine atony was also largely explained by increasing rates of primary and repeat cesareans. CONCLUSION: Rates of peripartum hysterectomy increased substantially in the United States from 1994 to 2007; much of this increase was due to rising rates of cesarean delivery. |
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Authors:
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Brian T Bateman; Jill M Mhyre; William M Callaghan; Elena V Kuklina |
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Publication Detail:
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Type: Journal Article Date: 2011-07-22 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 206 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2011-12-26 Completed Date: 2012-02-23 Revised Date: 2012-06-07 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 63.e1-8 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2012 Mosby, Inc. All rights reserved. |
Affiliation:
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Division of Obstetric Anesthesia, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, 02114, USA. bbateman@partners.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cesarean Section / statistics & numerical data, trends Cross-Sectional Studies Female Humans Hysterectomy / statistics & numerical data*, trends Obstetric Labor Complications / epidemiology, surgery Peripartum Period* Pregnancy Pregnancy Complications / epidemiology, surgery Prevalence Treatment Outcome United States / epidemiology Uterine Inertia / surgery Young Adult |
| Comments/Corrections | |
Comment In:
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Am J Obstet Gynecol. 2012 May;206(5):e5; author reply e5-6
[PMID:
22405526
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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