Abstract
Background and Objectives: Hysterectomy is the emergency removal of the uterus after a cesarean section (CS), usually performed after vaginal or cesarean deliveries, as a life-saving measure to control heavy bleeding during childbirth. This surgery has many complications. However, it has been increasing recently. The aim of this study is to determine the prevalence of hysterectomy over time and to explore factors associated with hysterectomy.
Methods: All patients with emergency hysterectomies following vaginal or cesarean delivery at the Fatemieh Medical and Educational Center were included in this study. Risk factors and indications for hysterectomy were recorded based on the study purpose.
Results: The data indicated that out of 114175 deliveries, there were 60 hysterectomies over 14 years with the age range of 20-45 years. The incidence of hysterectomy increased from 0.34/1000 during 2009-2015 to 0.71/1000 deliveries in 2015-2022, with an overall incidence of 0.53 per 1000 deliveries during 14 years. The results indicated that the mean rate of hysterectomy (0.95% CI) increased significantly by 0.059 yearly, and by adjusting other variables, the history of CS (0.95% CI) and placenta accreta previa significantly increased the hysterectomy mean rate by 0.291 (0.053- 0.529) and 0.284 (0.074-0.494), respectively.
Conclusion: The mean rate of hysterectomy represented an annual increase, especially during the last 7 years. In summary, the main reason can be the history of CS that leads to placental disorders and, thus, hysterectomy.
