Prevalence and Factors Associated with Peripartum Hysterectomy among Iranian Pregnant Women: A Retrospective Study
Peripartum hysterectomy (PPH) is one of the effective treatment modalities which is increasingly performed to save the life of pregnant women with uncontrollable severe postpartum hemorrhage. The aim of this study was to assess the prevalence and factors associated with PPH among Iranian pregnant wo...
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| Veröffentlicht in: | Ethiopian journal of health sciences 2022-03, Vol.32 (2), p.289-296 |
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| container_title | Ethiopian journal of health sciences |
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| creator | Peivandi, Saloumeh Peivandi, Sepideh Habibi, Ali Atarod, Zoleikha Moosazadeh, Mahmood Fallah, Somayeh |
| description | Peripartum hysterectomy (PPH) is one of the effective treatment modalities which is increasingly performed to save the life of pregnant women with uncontrollable severe postpartum hemorrhage. The aim of this study was to assess the prevalence and factors associated with PPH among Iranian pregnant women.
In a retrospective study, 33 pregnant women with PPH referred to Imam Khomeini Hospital in Sari, Mazandaran province, northern Iran were enrolled. Data were collected using census sampling from March 2017 to 2020. Patients' sociodemographic and clinical characteristics were collected. Fisher's exact test, Kruskal-Wallis, and Mann-Whitney tests were used to evaluate the study variables.
The prevalence of PPH among Iranian pregnant women was 2.81 per 1000 deliveries. The mean length of stay in the hospital and intensive care unit (ICU) was 6.15 (SD=2.91) and 3.17 (SD=1.50) days, respectively. Of the participants, 90.9% had a cesarean section, 51.6% had emergency PPH, 88.2% had emergency PPH in 24 hours after delivery, 9.1% had an induction, and 60.6% had PPH due to placental abnormalities. The mean duration of PPH procedure was 2.51 (SD=1.14) hours. The most common post-operative complication in participants was fever. Participants with older gestational age had more elective PPH (P=0.029). The length of ICU stay was more in patients with total PPH procedure compared to the supracervical (P |
| doi_str_mv | 10.4314/ejhs.v32i2.9 |
| format | Article |
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In a retrospective study, 33 pregnant women with PPH referred to Imam Khomeini Hospital in Sari, Mazandaran province, northern Iran were enrolled. Data were collected using census sampling from March 2017 to 2020. Patients' sociodemographic and clinical characteristics were collected. Fisher's exact test, Kruskal-Wallis, and Mann-Whitney tests were used to evaluate the study variables.
The prevalence of PPH among Iranian pregnant women was 2.81 per 1000 deliveries. The mean length of stay in the hospital and intensive care unit (ICU) was 6.15 (SD=2.91) and 3.17 (SD=1.50) days, respectively. Of the participants, 90.9% had a cesarean section, 51.6% had emergency PPH, 88.2% had emergency PPH in 24 hours after delivery, 9.1% had an induction, and 60.6% had PPH due to placental abnormalities. The mean duration of PPH procedure was 2.51 (SD=1.14) hours. The most common post-operative complication in participants was fever. Participants with older gestational age had more elective PPH (P=0.029). The length of ICU stay was more in patients with total PPH procedure compared to the supracervical (P<0.017). The induction rate was higher in emergency PPH after vaginal delivery compared to cesarean section (P=0.005).
This study showed a high prevalence of PPH among pregnant women. Also, there was a significant relationship between the PPH and length of ICU stay, especially after supracervical hysterectomy. The results of this study can help obstetrician-gynecologist to provide a better intervention for managing patients with postpartum hemorrhage requiring PPH.</description><identifier>ISSN: 1029-1857</identifier><identifier>EISSN: 2413-7170</identifier><identifier>DOI: 10.4314/ejhs.v32i2.9</identifier><identifier>PMID: 35693567</identifier><language>eng</language><publisher>Ethiopia: Research and Publications Office of Jimma University</publisher><subject>Cesarean Section - adverse effects ; Female ; Humans ; Hysterectomy - adverse effects ; Hysterectomy - methods ; Iran - epidemiology ; Original ; Peripartum Period ; Placenta ; Postpartum Hemorrhage - epidemiology ; Postpartum Hemorrhage - etiology ; Postpartum Hemorrhage - surgery ; Pregnancy ; Pregnant Women ; Prevalence ; Retrospective Studies ; Risk Factors</subject><ispartof>Ethiopian journal of health sciences, 2022-03, Vol.32 (2), p.289-296</ispartof><rights>2022 Peivandi S., et al.</rights><rights>2022 Peivandi S., et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175228/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175228/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27906,27907,53773,53775</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35693567$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peivandi, Saloumeh</creatorcontrib><creatorcontrib>Peivandi, Sepideh</creatorcontrib><creatorcontrib>Habibi, Ali</creatorcontrib><creatorcontrib>Atarod, Zoleikha</creatorcontrib><creatorcontrib>Moosazadeh, Mahmood</creatorcontrib><creatorcontrib>Fallah, Somayeh</creatorcontrib><title>Prevalence and Factors Associated with Peripartum Hysterectomy among Iranian Pregnant Women: A Retrospective Study</title><title>Ethiopian journal of health sciences</title><addtitle>Ethiop J Health Sci</addtitle><description>Peripartum hysterectomy (PPH) is one of the effective treatment modalities which is increasingly performed to save the life of pregnant women with uncontrollable severe postpartum hemorrhage. The aim of this study was to assess the prevalence and factors associated with PPH among Iranian pregnant women.
In a retrospective study, 33 pregnant women with PPH referred to Imam Khomeini Hospital in Sari, Mazandaran province, northern Iran were enrolled. Data were collected using census sampling from March 2017 to 2020. Patients' sociodemographic and clinical characteristics were collected. Fisher's exact test, Kruskal-Wallis, and Mann-Whitney tests were used to evaluate the study variables.
The prevalence of PPH among Iranian pregnant women was 2.81 per 1000 deliveries. The mean length of stay in the hospital and intensive care unit (ICU) was 6.15 (SD=2.91) and 3.17 (SD=1.50) days, respectively. Of the participants, 90.9% had a cesarean section, 51.6% had emergency PPH, 88.2% had emergency PPH in 24 hours after delivery, 9.1% had an induction, and 60.6% had PPH due to placental abnormalities. The mean duration of PPH procedure was 2.51 (SD=1.14) hours. The most common post-operative complication in participants was fever. Participants with older gestational age had more elective PPH (P=0.029). The length of ICU stay was more in patients with total PPH procedure compared to the supracervical (P<0.017). The induction rate was higher in emergency PPH after vaginal delivery compared to cesarean section (P=0.005).
This study showed a high prevalence of PPH among pregnant women. Also, there was a significant relationship between the PPH and length of ICU stay, especially after supracervical hysterectomy. The results of this study can help obstetrician-gynecologist to provide a better intervention for managing patients with postpartum hemorrhage requiring PPH.</description><subject>Cesarean Section - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy - adverse effects</subject><subject>Hysterectomy - methods</subject><subject>Iran - epidemiology</subject><subject>Original</subject><subject>Peripartum Period</subject><subject>Placenta</subject><subject>Postpartum Hemorrhage - epidemiology</subject><subject>Postpartum Hemorrhage - etiology</subject><subject>Postpartum Hemorrhage - surgery</subject><subject>Pregnancy</subject><subject>Pregnant Women</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><issn>1029-1857</issn><issn>2413-7170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkNtKAzEQhoMotlTvvJY8gFtz2E12vRCKWC0ULB7wMiTZaRvpZkuSVvr2bj2hA8PAzDf_MD9CZ5QMc07zS3hbxuGWM8eG1QHqs5zyTFJJDlGfElZltCxkD53G-Eb2IYnI-THq8UJUXco-CrMAW70CbwFrX-OxtqkNEY9ibK3TCWr87tISzyC4tQ5p0-D7XUwQoOOaHdZN6xd4ErR32uNObOG1T_i1bcBf4RF-hBTauO5otwX8lDb17gQdzfUqwul3HaCX8e3zzX02fbib3IymmeU5TRmDurS10EJoRs3cUMEIZUzMCyOJYYWwBohmlpellaasu4agprK5ZIRbY_kAXX_prjemgdqCT0Gv1Dq4RoedarVT_yfeLdWi3aqKyoKxshO4-BKw3QsxwPx3lxK1t1_t7Vef9quqw8__3vuFf8zmH88yhZY</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Peivandi, Saloumeh</creator><creator>Peivandi, Sepideh</creator><creator>Habibi, Ali</creator><creator>Atarod, Zoleikha</creator><creator>Moosazadeh, Mahmood</creator><creator>Fallah, Somayeh</creator><general>Research and Publications Office of Jimma University</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>5PM</scope></search><sort><creationdate>202203</creationdate><title>Prevalence and Factors Associated with Peripartum Hysterectomy among Iranian Pregnant Women: A Retrospective Study</title><author>Peivandi, Saloumeh ; Peivandi, Sepideh ; Habibi, Ali ; Atarod, Zoleikha ; Moosazadeh, Mahmood ; Fallah, Somayeh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-2ed8cd6a66a21bfb16201226f5b70b256cbe0a2c388c7b8d56c61b9c47203cbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cesarean Section - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy - adverse effects</topic><topic>Hysterectomy - methods</topic><topic>Iran - epidemiology</topic><topic>Original</topic><topic>Peripartum Period</topic><topic>Placenta</topic><topic>Postpartum Hemorrhage - epidemiology</topic><topic>Postpartum Hemorrhage - etiology</topic><topic>Postpartum Hemorrhage - surgery</topic><topic>Pregnancy</topic><topic>Pregnant Women</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peivandi, Saloumeh</creatorcontrib><creatorcontrib>Peivandi, Sepideh</creatorcontrib><creatorcontrib>Habibi, Ali</creatorcontrib><creatorcontrib>Atarod, Zoleikha</creatorcontrib><creatorcontrib>Moosazadeh, Mahmood</creatorcontrib><creatorcontrib>Fallah, Somayeh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Ethiopian journal of health sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peivandi, Saloumeh</au><au>Peivandi, Sepideh</au><au>Habibi, Ali</au><au>Atarod, Zoleikha</au><au>Moosazadeh, Mahmood</au><au>Fallah, Somayeh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and Factors Associated with Peripartum Hysterectomy among Iranian Pregnant Women: A Retrospective Study</atitle><jtitle>Ethiopian journal of health sciences</jtitle><addtitle>Ethiop J Health Sci</addtitle><date>2022-03</date><risdate>2022</risdate><volume>32</volume><issue>2</issue><spage>289</spage><epage>296</epage><pages>289-296</pages><issn>1029-1857</issn><eissn>2413-7170</eissn><abstract>Peripartum hysterectomy (PPH) is one of the effective treatment modalities which is increasingly performed to save the life of pregnant women with uncontrollable severe postpartum hemorrhage. The aim of this study was to assess the prevalence and factors associated with PPH among Iranian pregnant women.
In a retrospective study, 33 pregnant women with PPH referred to Imam Khomeini Hospital in Sari, Mazandaran province, northern Iran were enrolled. Data were collected using census sampling from March 2017 to 2020. Patients' sociodemographic and clinical characteristics were collected. Fisher's exact test, Kruskal-Wallis, and Mann-Whitney tests were used to evaluate the study variables.
The prevalence of PPH among Iranian pregnant women was 2.81 per 1000 deliveries. The mean length of stay in the hospital and intensive care unit (ICU) was 6.15 (SD=2.91) and 3.17 (SD=1.50) days, respectively. Of the participants, 90.9% had a cesarean section, 51.6% had emergency PPH, 88.2% had emergency PPH in 24 hours after delivery, 9.1% had an induction, and 60.6% had PPH due to placental abnormalities. The mean duration of PPH procedure was 2.51 (SD=1.14) hours. The most common post-operative complication in participants was fever. Participants with older gestational age had more elective PPH (P=0.029). The length of ICU stay was more in patients with total PPH procedure compared to the supracervical (P<0.017). The induction rate was higher in emergency PPH after vaginal delivery compared to cesarean section (P=0.005).
This study showed a high prevalence of PPH among pregnant women. Also, there was a significant relationship between the PPH and length of ICU stay, especially after supracervical hysterectomy. The results of this study can help obstetrician-gynecologist to provide a better intervention for managing patients with postpartum hemorrhage requiring PPH.</abstract><cop>Ethiopia</cop><pub>Research and Publications Office of Jimma University</pub><pmid>35693567</pmid><doi>10.4314/ejhs.v32i2.9</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; African Journals Online (Open Access); EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Cesarean Section - adverse effects Female Humans Hysterectomy - adverse effects Hysterectomy - methods Iran - epidemiology Original Peripartum Period Placenta Postpartum Hemorrhage - epidemiology Postpartum Hemorrhage - etiology Postpartum Hemorrhage - surgery Pregnancy Pregnant Women Prevalence Retrospective Studies Risk Factors |
| title | Prevalence and Factors Associated with Peripartum Hysterectomy among Iranian Pregnant Women: A Retrospective Study |
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