Old and novel insights into emergency peripartum hysterectomy: a time-trend analysis

Purpose To assess changing trends, role of the triad patient–pregnancy–health professionals and health care cost in emergency peripartum hysterectomy (EPH). Methods Demographics, indications, perinatal outcomes, perioperative complications in EPH cases performed in a 10-year period were extracted from the local birth registry. Experience of health professionals in the management of the post-partum haemorrhage was valued. Two subgroups (Period I, 2009–2013 vs. Period II, 2014–2018) were recognized. Overall and detailed EPH ratios/1000 deliveries were calculated. Cost analysis was achieved in agreement with the diagnosis-related group (DGR) system . Results A total of 39 EPH were performed among 36,053 deliveries. EPH incidence increased from 0.8 to 1.32‰ across study periods ( p