Risk factors for peripartum hysterectomy among women with postpartum haemorrhage: analysis of data from the WOMAN trial

BMC Pregnancy and Childbirth
Sumaya HuqueHaleema Shakur-Still

Abstract

Peripartum hysterectomy can cause significant morbidity and mortality. Most studies of peripartum hysterectomy are from high income countries. This cohort study examined risk factors for peripartum hysterectomy using data from Africa, Asia, Europe and the Americas. We used data from the World Maternal Antifibrinolytic (WOMAN) trial carried out in 193 hospitals in 21 countries. Peripartum hysterectomy was defined as hysterectomy within 6 weeks of delivery as a complication of postpartum haemorrhage. Univariable and multivariable random effects logistic regression models were used to analyse risk factors. A hierarchical conceptual framework guided our multivariable analysis. Five percent of women had a hysterectomy (1020/20,017). Haemorrhage from placenta praevia/accreta carried a higher risk of hysterectomy (17%) than surgical trauma/tears (5%) and uterine atony (3%). The adjusted odds ratio (AOR) for hysterectomy in women with placenta praevia/accreta was 3.2 (95% CI: 2.7-3.8), compared to uterine atony. The risk of hysterectomy increased with maternal age. Caesarean section was associated with fourfold higher odds of hysterectomy than vaginal delivery (AOR 4.3, 95% CI: 3.6-5.0). Mothers in Asia had a higher hysterectomy incide...Continue Reading

References

Feb 1, 1997·International Journal of Epidemiology·C G VictoraM T Olinto
Jul 1, 1997·American Journal of Obstetrics and Gynecology·D A MillerT M Goodwin
Jan 9, 2004·British Medical Bulletin·R C Pattinson, M Hall
Feb 8, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·L Pearson, R Shoo
Jul 20, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Anneke KweeHein W Bruinse
Sep 28, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shi Wu WenUNKNOWN Maternal Health Study Group, Canadian Perinatal Surveillance System
Feb 24, 2006·Archives of Gynecology and Obstetrics·Wai YoongAde Oluwu
Dec 2, 2006·Obstetrics and Gynecology·Maura K WhitemanPolly A Marchbanks
Nov 21, 2007·Acta Obstetricia Et Gynecologica Scandinavica·Abelone SakseNiels Jørgen Secher
Jan 1, 2008·Obstetrics and Gynecology·Marian KnightUNKNOWN United Kingdom Obstetric Surveillance System Steering Committee
Sep 26, 2008·Best Practice & Research. Clinical Obstetrics & Gynaecology·José Miguel Palacios-Jaraquemada
Mar 25, 2009·American Journal of Obstetrics and Gynecology·Karen M FloodFergal D Malone
Jun 24, 2009·Obstetrics and Gynecology·Clara BodelonSusan D Reed
Feb 24, 2010·Obstetrics and Gynecology·A Cristina RossiRamen H Chmait
May 27, 2010·Obstetrics and Gynecology·Jason D WrightThomas J Herzog
Jun 3, 2011·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Nida AwanWilliam A W Walters
Oct 11, 2011·American Journal of Obstetrics and Gynecology·Brian T BatemanElena V Kuklina
Dec 16, 2011·North American Journal of Medical Sciences·Lovina S M Machado
Oct 17, 2012·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Abiodun Omole-Ohonsi, Hassan Taiwo Olayinka
Mar 23, 2013·Acta Obstetricia Et Gynecologica Scandinavica·Frédéric Chantraine, Jens Langhoff-Roos
Nov 12, 2013·Archives of Gynecology and Obstetrics·Sadik SahinMustafa Serdar Yaşartekin
Dec 19, 2013·Bulletin of the World Health Organization·Francesca L CavallaroCarine Ronsmans
Jun 25, 2015·Archives of Gynecology and Obstetrics·Cara Z de la CruzWendy N Nembhard
Nov 9, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Sarah M CampbellUNKNOWN Irish Maternal Morbidity Advisory Group

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Citations

Nov 10, 2018·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Kaushalya ArulpragasamMathias Epee-Bekima
Nov 23, 2019·International Journal of Environmental Research and Public Health·Juan Miguel Martínez-GalianoAntonio Hernández-Martínez
Mar 21, 2019·Current Opinion in Anaesthesiology·Eitan MangoubiSharon Orbach-Zinger
Dec 21, 2018·The Cochrane Database of Systematic Reviews·Ioannis D GallosArri Coomarasamy
Aug 19, 2020·The Journal of Obstetrics and Gynaecology Research·Zahar Azuar ZakariaSakinah Abas
Aug 4, 2019·Reproductive Health·Chander ShekharAbhishek Singh
Mar 30, 2020·Archives of Gynecology and Obstetrics·Stefania TriunfoAntonio Lanzone
Jan 5, 2021·International Journal of Health Care Quality Assurance·Alessa Leila AndradeTatyana Souza Rosendo
Jan 27, 2021·Taiwanese Journal of Obstetrics & Gynecology·Gonca Yetkin YildirimIsmail Ozdemir
Aug 15, 2021·International Journal of Obstetric Anesthesia·M Balki, C A Wong

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Methods Mentioned

BETA
hysterectomy
hysterectomies

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