THE INCIDENCE OF PERIPARTUM HYSTERECTOMY IN FIVE CROATIAN HOSPITALS DURING A SIXTEEN-YEAR PERIOD

• Published in: Liječnički vjesnik Vol. 137; no. 7-8; pp. 223 - 228
• Main Authors: Haller, Herman, Dugandžić, Vedrana Hardi, Krištofić, Ines, Gačanin, Lana Glavan, Vukčević, Indira, Milčić, Hermina, Prka, Matija, Paljušaj, Edmond, Drageljević, Ksenija, Štajcer, Zeljko, Habek, Dubravko, Belci, Dragan, Petrović, Oleg, Kolak, Nikola, Mišković, Berivoj, Zoričić, Davor
• Format: Journal Article
• Language: Croatian
• Published: Croatia 01.07.2015
• Subjects: Cesarean Section - statistics & numerical data; Croatia - epidemiology; Delivery, Obstetric; Female; Humans; Hysterectomy - statistics & numerical data; Incidence; Peripartum Period; Postpartum Hemorrhage - epidemiology; Postpartum Hemorrhage - surgery; Pregnancy; Retrospective Studies; Croatia
• ISSN: 0024-3477

Peripartal hysterectomy (PPH) is a life saving surgical procedure that is performed when conservative measures fail to control bleeding. According to literature data there is an increase in incidence among developed countries. To define the rate of PPH during two eight-year periods in five Croatian hospitals in respect to mode of delivery. Patients data were collected retrospectively from the medical records of the five Croatian hospitals. We analyzed data from 1998 to 2013, and divided them in two eight-year periods. In 70 cases out of 153,302 deliveries urgent PPH was performed. PPH after vaginal deliveries was found in 0.21%o and 0.16%o and PPH after caesarean section was 1.91 %o and 2.04%o in the first and second period, respectively. There is no increase of PPH rate in the two analyzed periods, although there is a statistically significant increase of caesarean section rate. Caesarean section presents higher risk for PPH.