Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review
Introduction Our objective was to determine the incidence and mortality rates associated with emergency peripartum hysterectomy, factors that lead to uncontrolled hemorrhage and emergency peripartum hysterectomy, and to determine the relationship between cesarean section and risk of emergency peripa...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2015-12, Vol.292 (6), p.1201-1215 |
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| creator | de la Cruz, Cara Z. Thompson, Erika L. O’Rourke, Kathleen Nembhard, Wendy N. |
| description | Introduction
Our objective was to determine the incidence and mortality rates associated with emergency peripartum hysterectomy, factors that lead to uncontrolled hemorrhage and emergency peripartum hysterectomy, and to determine the relationship between cesarean section and risk of emergency peripartum hysterectomy.
Materials and methods
Studies published between January 1, 2000 and December 31, 2012 were identified using PubMed, OVID and Web of Science databases. Studies were included if they reported incidence rates for emergency peripartum hysterectomy, factors that lead to hemorrhage and emergency peripartum hysterectomy, or the association of emergency peripartum hysterectomy with cesarean section in high-income countries.
Results
Four hundred and fifty-one studies were identified, and 52 were included. The incidence of emergency peripartum hysterectomy ranged from 0.20 to 5.09 per 1000 deliveries with a median incidence rate of 0.61 per 1000 deliveries. These rates have increased over time. Rates varied by region/country, specifically with the United States reporting higher rates than North American, Asian, Oceania, and European countries. The most common factor leading to emergency peripartum hysterectomy was placental abnormalities. Both cesarean section and prior cesarean section were strong risk factors for emergency peripartum hysterectomy with higher risks conferred for each additional cesarean section. The mean percentage of maternal deaths for EPH survivors was 3.0 %.
Conclusion
Given the association of cesarean section with emergency peripartum hysterectomy, the increased risk of emergency peripartum hysterectomy should be factored into the decision of whether to proceed with cesarean delivery, particularly for women who desire more children. |
| doi_str_mv | 10.1007/s00404-015-3790-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1722924916</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261522602</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-b3260273761bf840e77f38f5385fe3c037c4966835a470d7add28ab420c039e03</originalsourceid><addsrcrecordid>eNp1kU9r3DAQxUVp6G7TfoBegqCXXNyM_tiycytLkgYCuSRnoZXHu9quJVeyE_bbR2aTBgo9zcD83pthHiHfGPxgAOoiAUiQBbCyEKqBgn8gSyYFL0Ax9pEsoZl7qNSCfE5pB8B4XVefyIJXDCTj5ZIMK0wmovE0oR1d8NT4lo5bpNGl3zR0FHuMG_T2QAeMbjBxnHq6PaQRY1aE_kCdp1u32RbO29AjtWHyY3SYLqmhaQZ7MzpLIz45fP5CTjqzT_j1tZ6Sx-urh9Wv4u7-5nb1866wUvKxWAteAVdCVWzd1RJQqU7UXSnqskNhQSgrm6qqRWmkglaZtuW1WUsOedYgiFNyfvQdYvgzYRp175LF_d54DFPSTHHecNmwKqPf_0F3YYo-X6d5_lTJ51MyxY6UjSGliJ0eoutNPGgGeo5DH-PQOQ49x6Fnzdmr87Tusf2rePt_BvgRSHnkNxjfV__f9QWexZT8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261522602</pqid></control><display><type>article</type><title>Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>de la Cruz, Cara Z. ; Thompson, Erika L. ; O’Rourke, Kathleen ; Nembhard, Wendy N.</creator><creatorcontrib>de la Cruz, Cara Z. ; Thompson, Erika L. ; O’Rourke, Kathleen ; Nembhard, Wendy N.</creatorcontrib><description>Introduction
Our objective was to determine the incidence and mortality rates associated with emergency peripartum hysterectomy, factors that lead to uncontrolled hemorrhage and emergency peripartum hysterectomy, and to determine the relationship between cesarean section and risk of emergency peripartum hysterectomy.
Materials and methods
Studies published between January 1, 2000 and December 31, 2012 were identified using PubMed, OVID and Web of Science databases. Studies were included if they reported incidence rates for emergency peripartum hysterectomy, factors that lead to hemorrhage and emergency peripartum hysterectomy, or the association of emergency peripartum hysterectomy with cesarean section in high-income countries.
Results
Four hundred and fifty-one studies were identified, and 52 were included. The incidence of emergency peripartum hysterectomy ranged from 0.20 to 5.09 per 1000 deliveries with a median incidence rate of 0.61 per 1000 deliveries. These rates have increased over time. Rates varied by region/country, specifically with the United States reporting higher rates than North American, Asian, Oceania, and European countries. The most common factor leading to emergency peripartum hysterectomy was placental abnormalities. Both cesarean section and prior cesarean section were strong risk factors for emergency peripartum hysterectomy with higher risks conferred for each additional cesarean section. The mean percentage of maternal deaths for EPH survivors was 3.0 %.
Conclusion
Given the association of cesarean section with emergency peripartum hysterectomy, the increased risk of emergency peripartum hysterectomy should be factored into the decision of whether to proceed with cesarean delivery, particularly for women who desire more children.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-015-3790-2</identifier><identifier>PMID: 26104125</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Cesarean section ; Cesarean Section - adverse effects ; Cesarean Section - statistics & numerical data ; Delivery, Obstetric ; Developed Countries ; Emergency Treatment - statistics & numerical data ; Endocrinology ; Female ; Gynecology ; Health risk assessment ; Human Genetics ; Humans ; Hysterectomy ; Hysterectomy - adverse effects ; Hysterectomy - statistics & numerical data ; Incidence ; Maternal Mortality ; Medicine ; Medicine & Public Health ; Obstetrics/Perinatology/Midwifery ; Peripartum Period ; Postpartum Hemorrhage - surgery ; Pregnancy ; Review ; Risk Factors</subject><ispartof>Archives of gynecology and obstetrics, 2015-12, Vol.292 (6), p.1201-1215</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2015). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-b3260273761bf840e77f38f5385fe3c037c4966835a470d7add28ab420c039e03</citedby><cites>FETCH-LOGICAL-c442t-b3260273761bf840e77f38f5385fe3c037c4966835a470d7add28ab420c039e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-015-3790-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-015-3790-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26104125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de la Cruz, Cara Z.</creatorcontrib><creatorcontrib>Thompson, Erika L.</creatorcontrib><creatorcontrib>O’Rourke, Kathleen</creatorcontrib><creatorcontrib>Nembhard, Wendy N.</creatorcontrib><title>Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Introduction
Our objective was to determine the incidence and mortality rates associated with emergency peripartum hysterectomy, factors that lead to uncontrolled hemorrhage and emergency peripartum hysterectomy, and to determine the relationship between cesarean section and risk of emergency peripartum hysterectomy.
Materials and methods
Studies published between January 1, 2000 and December 31, 2012 were identified using PubMed, OVID and Web of Science databases. Studies were included if they reported incidence rates for emergency peripartum hysterectomy, factors that lead to hemorrhage and emergency peripartum hysterectomy, or the association of emergency peripartum hysterectomy with cesarean section in high-income countries.
Results
Four hundred and fifty-one studies were identified, and 52 were included. The incidence of emergency peripartum hysterectomy ranged from 0.20 to 5.09 per 1000 deliveries with a median incidence rate of 0.61 per 1000 deliveries. These rates have increased over time. Rates varied by region/country, specifically with the United States reporting higher rates than North American, Asian, Oceania, and European countries. The most common factor leading to emergency peripartum hysterectomy was placental abnormalities. Both cesarean section and prior cesarean section were strong risk factors for emergency peripartum hysterectomy with higher risks conferred for each additional cesarean section. The mean percentage of maternal deaths for EPH survivors was 3.0 %.
Conclusion
Given the association of cesarean section with emergency peripartum hysterectomy, the increased risk of emergency peripartum hysterectomy should be factored into the decision of whether to proceed with cesarean delivery, particularly for women who desire more children.</description><subject>Adult</subject><subject>Cesarean section</subject><subject>Cesarean Section - adverse effects</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Delivery, Obstetric</subject><subject>Developed Countries</subject><subject>Emergency Treatment - statistics & numerical data</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health risk assessment</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Hysterectomy - adverse effects</subject><subject>Hysterectomy - statistics & numerical data</subject><subject>Incidence</subject><subject>Maternal Mortality</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Peripartum Period</subject><subject>Postpartum Hemorrhage - surgery</subject><subject>Pregnancy</subject><subject>Review</subject><subject>Risk Factors</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU9r3DAQxUVp6G7TfoBegqCXXNyM_tiycytLkgYCuSRnoZXHu9quJVeyE_bbR2aTBgo9zcD83pthHiHfGPxgAOoiAUiQBbCyEKqBgn8gSyYFL0Ax9pEsoZl7qNSCfE5pB8B4XVefyIJXDCTj5ZIMK0wmovE0oR1d8NT4lo5bpNGl3zR0FHuMG_T2QAeMbjBxnHq6PaQRY1aE_kCdp1u32RbO29AjtWHyY3SYLqmhaQZ7MzpLIz45fP5CTjqzT_j1tZ6Sx-urh9Wv4u7-5nb1866wUvKxWAteAVdCVWzd1RJQqU7UXSnqskNhQSgrm6qqRWmkglaZtuW1WUsOedYgiFNyfvQdYvgzYRp175LF_d54DFPSTHHecNmwKqPf_0F3YYo-X6d5_lTJ51MyxY6UjSGliJ0eoutNPGgGeo5DH-PQOQ49x6Fnzdmr87Tusf2rePt_BvgRSHnkNxjfV__f9QWexZT8</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>de la Cruz, Cara Z.</creator><creator>Thompson, Erika L.</creator><creator>O’Rourke, Kathleen</creator><creator>Nembhard, Wendy N.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review</title><author>de la Cruz, Cara Z. ; Thompson, Erika L. ; O’Rourke, Kathleen ; Nembhard, Wendy N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-b3260273761bf840e77f38f5385fe3c037c4966835a470d7add28ab420c039e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Cesarean section</topic><topic>Cesarean Section - adverse effects</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Delivery, Obstetric</topic><topic>Developed Countries</topic><topic>Emergency Treatment - statistics & numerical data</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Health risk assessment</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Hysterectomy - adverse effects</topic><topic>Hysterectomy - statistics & numerical data</topic><topic>Incidence</topic><topic>Maternal Mortality</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Peripartum Period</topic><topic>Postpartum Hemorrhage - surgery</topic><topic>Pregnancy</topic><topic>Review</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de la Cruz, Cara Z.</creatorcontrib><creatorcontrib>Thompson, Erika L.</creatorcontrib><creatorcontrib>O’Rourke, Kathleen</creatorcontrib><creatorcontrib>Nembhard, Wendy N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de la Cruz, Cara Z.</au><au>Thompson, Erika L.</au><au>O’Rourke, Kathleen</au><au>Nembhard, Wendy N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>292</volume><issue>6</issue><spage>1201</spage><epage>1215</epage><pages>1201-1215</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Introduction
Our objective was to determine the incidence and mortality rates associated with emergency peripartum hysterectomy, factors that lead to uncontrolled hemorrhage and emergency peripartum hysterectomy, and to determine the relationship between cesarean section and risk of emergency peripartum hysterectomy.
Materials and methods
Studies published between January 1, 2000 and December 31, 2012 were identified using PubMed, OVID and Web of Science databases. Studies were included if they reported incidence rates for emergency peripartum hysterectomy, factors that lead to hemorrhage and emergency peripartum hysterectomy, or the association of emergency peripartum hysterectomy with cesarean section in high-income countries.
Results
Four hundred and fifty-one studies were identified, and 52 were included. The incidence of emergency peripartum hysterectomy ranged from 0.20 to 5.09 per 1000 deliveries with a median incidence rate of 0.61 per 1000 deliveries. These rates have increased over time. Rates varied by region/country, specifically with the United States reporting higher rates than North American, Asian, Oceania, and European countries. The most common factor leading to emergency peripartum hysterectomy was placental abnormalities. Both cesarean section and prior cesarean section were strong risk factors for emergency peripartum hysterectomy with higher risks conferred for each additional cesarean section. The mean percentage of maternal deaths for EPH survivors was 3.0 %.
Conclusion
Given the association of cesarean section with emergency peripartum hysterectomy, the increased risk of emergency peripartum hysterectomy should be factored into the decision of whether to proceed with cesarean delivery, particularly for women who desire more children.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26104125</pmid><doi>10.1007/s00404-015-3790-2</doi><tpages>15</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0932-0067 |
| ispartof | Archives of gynecology and obstetrics, 2015-12, Vol.292 (6), p.1201-1215 |
| issn | 0932-0067 1432-0711 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Cesarean section Cesarean Section - adverse effects Cesarean Section - statistics & numerical data Delivery, Obstetric Developed Countries Emergency Treatment - statistics & numerical data Endocrinology Female Gynecology Health risk assessment Human Genetics Humans Hysterectomy Hysterectomy - adverse effects Hysterectomy - statistics & numerical data Incidence Maternal Mortality Medicine Medicine & Public Health Obstetrics/Perinatology/Midwifery Peripartum Period Postpartum Hemorrhage - surgery Pregnancy Review Risk Factors |
| title | Cesarean section and the risk of emergency peripartum hysterectomy in high-income countries: a systematic review |
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