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Peripartum hysterectomy in Taiwan |
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| Authors: | Hei-Jen Jou Hsin-Wen Hung Pei-Ying Ling Shih-Ming Chen Shiao-Chi Wu |
| Institution: | aDepartment of Obstetrics and Gynecology, Taiwan Adventist Hospital, Taipei, Taiwan bNational Taiwan University Hospital, Taipei, Taiwan cCha-Yi Christian Hospital, Cha-Yi, Taiwan dInstitute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan |
| Abstract: | OBJECTIVE: To investigate the incidence and associated risk factors for peripartum hysterectomy in singleton pregnancies. METHODS: A retrospective cohort study of all women with singleton pregnancies admitted for delivery in 2002 taken from the National Healthcare Insurance database. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for maternal and hospital characteristics using logistic regression. RESULTS: There were 287 peripartum hysterectomies in 214 237 singleton pregnancies (0.13%). Cesarean delivery, vaginal birth after cesarean (VBAC), and repeat cesarean delivery had higher hysterectomy rates than vaginal delivery, with adjusted ORs of 12.13 (95% CI 8.30-17.74), 5.12 (95% CI 1.19-21.92), and 3.84 (95% CI 2.52-5.86), respectively. Pregnancies complicated with placenta previa, gestational diabetes mellitus (GDM), and premature labor were associated with significantly increased risks for peripartum hysterectomy (P<0.05). CONCLUSION: Risk factors for peripartum hysterectomy included cesarean delivery, VBAC, repeat cesarean, placenta previa, GDM, and premature labor. VBAC and repeat cesarean had a similar risk. |
| Keywords: | Cesarean delivery Peripartum hysterectomy Taiwan Vaginal delivery |
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