[THE INCIDENCE OF PERIPARTUM HYSTERECTOMY IN FIVE CROATIAN HOSPITALS DURING A SIXTEEN-YEAR PERIOD].
BACKGROUND
Peripartal hysterectomy (PPH) is a life saving surgical procedure that is performed when conservative measures fail to control bleeding. According to literature data there is an increase in incidence among developed countries.


OBJECTIVE
To define the rate of PPH during two eight-year periods in five Croatian hospitals in respect to mode of delivery.


METHODS
Patients data were collected retrospectively from the medical records of the five Croatian hospitals. We analyzed data from 1998 to 2013, and divided them in two eight-year periods.


RESULTS
In 70 cases out of 153,302 deliveries urgent PPH was performed. PPH after vaginal deliveries was found in 0.21%o and 0.16%o and PPH after caesarean section was 1.91 %o and 2.04%o in the first and second period, respectively.


CONCLUSIONS
There is no increase of PPH rate in the two analyzed periods, although there is a statistically significant increase of caesarean section rate. Caesarean section presents higher risk for PPH.
Herman
H
Haller
Vedrana Hardi
VH
Dugandžić
Ines
I
Krištofić
Lana Glavan
LG
Gačanin
Indira
I
Vukčević
Hermina
H
Milčić
Matija
M
Prka
Edmond
E
Paljušaj
Ksenija
K
Drageljević
Zeljko
Z
Štajcer
Dubravko
D
Habek
Dragan
D
Belci
Oleg
O
Petrović
Nikola
N
Kolak
Berivoj
B
Mišković
Davor
D
Zoričić
D002585:Cesarean Section / Q000706:statistics & numerical data; D017523:Croatia / Q000453:epidemiology; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D015994:Incidence; D058725:Peripartum Period; D006473:Postpartum Hemorrhage / Q000453:epidemiology* / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies