title: Peripartum hysterectomy between 2009 and 2010 in Sichuan, China.
abstract: OBJECTIVE
  To investigate the incidence and risk factors for peripartum hysterectomy (PH) in Sichuan, China.
  
  
  METHODS
  A population-based study was conducted using the obstetric inpatient records of women who gave birth at 1 of 8 hospitals between January 1, 2009, and December 31, 2010. Multivariate logistic regression analysis was used to identify independent risk factors for PH.
  
  
  RESULTS
  During the study period, 64 cases of PH occurred among 34014 deliveries (0.2%); abnormal placentation and uterine atony were the major indications for surgery. Several factors significantly increased the risk of PH among the study population: placenta previa (adjusted odds ratio [AOR] 10.0; 95% confidence interval [CI], 5.7-17.7), uterine atony (AOR 7.4; 95% CI, 4.3-12.8), repeat cesarean delivery (AOR 3.0; 95% CI, 1.2-7.7), low birth weight (AOR 2.6; 95% CI, 1.5-4.6), and multiparity (AOR 2.4; 95% CI, 1.3-4.4). By contrast, multiple gestation, primary cesarean delivery, placental abruption, leiomyoma, pre-eclampsia, eclampsia, and diabetes mellitus did not significantly increase the risk of PH.
  
  
  CONCLUSIONS
  Placenta previa, uterine atony, repeat cesarean delivery, low birth weight, and multiparity were risk factors for PH among the study population.
authors.affiliation: Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.
authors.forename: Meng
authors.initials: M
authors.lastname: Chen
authors.forename: Li
authors.initials: L
authors.lastname: Zhang
authors.forename: Qiang
authors.initials: Q
authors.lastname: Wei
authors.forename: Xiaodong
authors.initials: X
authors.lastname: Fu
authors.forename: Qian
authors.initials: Q
authors.lastname: Gao
authors.forename: Xinghui
authors.initials: X
authors.lastname: Liu
mesh_terms: D000328:Adult; D002681:China; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D058725:Peripartum Period; D010929:Placentation; D011247:Pregnancy; D012307:Risk Factors; D014593:Uterine Inertia / Q000601:surgery; D055815:Young Adult