caa a22 4500 445306769 CHVBK 20180317142615.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00404-010-1554-6 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1554-6 Risk of peripartum hysterectomy by mode of delivery and prior obstetric history: data from a population-based study [Elektronische Daten] [Michail Spiliopoulos, Aparna Kareti, Neetu Jain, Lakota Kruse, Alex Hanlon, Vani Dandolu] Purpose: To provide an estimate of the incidence of peripartum hysterectomy in the state of New Jersey and calculate the effect of mode of delivery and prior obstetric history. Methods: A perinatal-linked dataset provided by the Maternal Child Health Epidemiology Program in the New Jersey Department of Health was used to obtain information from birth certificates and hospital discharge records. Using multivariate logistic regression, various demographic and clinical factors were assessed for association with peripartum hysterectomy. Results: A total of 1,004,116 births were identified between 1997 and 2005 and 853 peripartum hysterectomies were performed (0.85/1,000 deliveries). Parity increased the risk of hysterectomy with nulliparous women having approximately half the risk compared to multiparous women. Cesarean delivery with no previous c-section almost doubled the risk (OR 2.20, CI 1.80-26.69) while in the presence of a previous c-section the risk was almost four times higher (OR 4.51, CI 3.76-5.40). Operative vaginal delivery did not result in any increase in the risk. Conclusions: Mode of delivery and prior obstetric history are major risk factors for peripartum hysterectomy. Patients desiring cesarean delivery need to be counseled on the risk of this serious complication. Springer-Verlag, 2010 Peripartum hysterectomy nationallicence C-section nationallicence Placenta previa nationallicence Population-based study nationallicence Spiliopoulos Michail Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA aut Kareti Aparna Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA aut Jain Neetu UMDNJ-School of Public Health, Piscataway, NJ, USA aut Kruse Lakota Division of Family Health Services, New Jersey Department of Health and Senior Services, Trenton, NJ, USA aut Hanlon Alex Department of Biostatistics, Temple University Hospital, Philadelphia, PA, USA aut Dandolu Vani Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA aut Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1261-1268 0932-0067 283:6<1261 2011 283 404 https://doi.org/10.1007/s00404-010-1554-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1554-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Spiliopoulos Michail Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Kareti Aparna Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Jain Neetu UMDNJ-School of Public Health, Piscataway, NJ, USA aut NATIONALLICENCE 700 1- Kruse Lakota Division of Family Health Services, New Jersey Department of Health and Senior Services, Trenton, NJ, USA aut NATIONALLICENCE 700 1- Hanlon Alex Department of Biostatistics, Temple University Hospital, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Dandolu Vani Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/6(2011-06-01), 1261-1268 0932-0067 283:6<1261 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer