@article{article_1583421, title={Peripartum Hysterectomy Trends and Influencing Factors: 7 years of experience in a tertiary center in Türkiye}, journal={Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi}, volume={22}, pages={270–274}, year={2025}, DOI={10.38136/jgon.1583421}, author={Kurtay, Sabri and Taşın, Cuma}, keywords={Peripartum histerektomi, Postpartum atoni, Yüksek riskli gebelik}, abstract={Aim: This study aimed to investigate the incidence and clinical characteristics of peripartum hysterectomy (PPH) cases performed at a tertiary care center in Türkiye between 2017 and 2023. The comparison of emergency and elective PPH cases was also targeted. Material and Methods: In this retrospective study, 94 PPH cases out of 69,100 births between January 1, 2017, and December 31, 2023, were analyzed. Cases were divided into two groups based on the causes: placental invasion anomalies and atony/uterine rupture. Preoperative, intraoperative, and postoperative data were analyzed. Chi-square and Fisher’s exact tests were used for categorical variables, while Kolmogorov-Smirnov and Mann-Whitney U tests were used for continuous variables. Results: The incidence of PPH varied by year, with an average of ‰1.36. The highest incidence was observed in 2023 at ‰2.45. Emergency hysterectomy cases had higher complication rates than elective cases (57.1% vs. 42.9%). Significant differences were found between groups regarding the number of cesarean sections, gestational week, and platelet levels (p <0.005). Conclusion: PPH incidence is associated with increased cesarean rates and placental invasion anomalies. Higher complication rates were observed in emergency cases. The experience of surgical teams and postpartum care processes are critical in reducing maternal mortality and morbidity. Prospective studies are needed to reduce cesarean rates and improve the management of high-risk pregnancies.}, number={3}, publisher={T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi}