Antepartum risk factors associated with peripartum cesarean hysterectomy in women with placenta previa.
The objective of this study was to identify antepartum risk factors for peripartum hysterectomy in women with placenta previa. The medical records of women with placenta previa who underwent cesarean section (C/S) were reviewed retrospectively. Data regarding the reproductive history and peripartum outcomes were analyzed. Multivariable analysis was used to identify factors independently associated with hysterectomy. During an 8.5-year period, 346 cases of placenta previa were identified in 24,987 deliveries (1.4%). An emergent hysterectomy was performed in 31 patients (9.0%). Multiparity, total previa, history of abortion, C/S, and placenta previa was more common in the hysterectomy group. An increasing number of abortions and C/S were associated with a higher frequency of hysterectomy. By the multivariable analysis, previous abortion, previous C/S, and total previa were significant risk factors for hysterectomy. We concluded that in women with placenta previa, history of abortion as well as prior C/S, and a total previa are strong antepartum risk factors for peripartum hysterectomy.
Choi
Suk-Joo
SJ
Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Song
Seung Eun
SE
Jung
Kyung-Lan
KL
Oh
Soo-Young
SY
Kim
Jong-Hwa
JH
Roh
Cheong-Rae
CR
D000028:Abortion, Induced / Q000706:statistics & numerical data; D000328:Adult; D001034:Apgar Score; D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007044:Hysterectomy; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D015999:Multivariate Analysis; D010343:Patient Admission / Q000706:statistics & numerical data; D010923:Placenta Previa / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors