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Risk of Peripartum Hysterectomy and Deliveries

Obstet Gynecol; ePub 2016 Nov 3; Govindappagari, et al

Hospitals with high delivery volumes and high rates of hysterectomies saw the largest increases in peripartum hysterectomy rates, according to a recent study. Data from the Perspective database were used to evaluate trends in peripartum hysterectomy and deliveries at high risk of peripartum hysterectomy based on placenta previa and prior cesarean delivery from 2006 through 2014. Hospitals were categorized into 5 rough equal quintiles based on annualized delivery volume, and by the mean number of hysterectomies performed annually over the study period. Researchers found:

  • 4,811 hysterectomies occurred among 5,388,486 deliveries in 500 hospitals over the study period.
  • Peripartum hysterectomy rate increased from 81.4 per 100,000 deliveries in 2006 to 98.4 in 2014.
  • Between 2006-2008 and 2012-2014, peripartum hysterectomy decreased in the lowest delivery volume quintile and increased in the highest delivery volume quintile.
  • Hospitals performing high rates of hysterectomies saw the largest increase.

Citation:

Govindappagari S, Wright JD, Ananth CV, Huang Y, D’Alton ME, Friedman AM. Risk of peripartum hysterectomy and center hysterectomy and delivery volume. [Published online ahead of print November 3, 2016]. Obstet Gynecol. doi:10.1097/AOG.0000000000001722.