Document Detail

Peripartum hysterectomy in the United States: nationwide 14 year experience.
MedLine Citation:
PMID:  21982025     Owner:  NLM     Status:  MEDLINE    
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.
Brian T Bateman; Jill M Mhyre; William M Callaghan; Elena V Kuklina
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Publication Detail:
Type:  Journal Article     Date:  2011-07-22
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  206     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-26     Completed Date:  2012-02-23     Revised Date:  2012-06-07    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  63.e1-8     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Mosby, Inc. All rights reserved.
Division of Obstetric Anesthesia, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, 02114, USA.
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MeSH Terms
Cesarean Section / statistics & numerical data,  trends
Cross-Sectional Studies
Hysterectomy / statistics & numerical data*,  trends
Obstetric Labor Complications / epidemiology,  surgery
Peripartum Period*
Pregnancy Complications / epidemiology,  surgery
Treatment Outcome
United States / epidemiology
Uterine Inertia / surgery
Young Adult
Comment In:
Am J Obstet Gynecol. 2012 May;206(5):e5; author reply e5-6   [PMID:  22405526 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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