INTRODUCTION
Peripartum hysterectomy(PPH) is an important surgical procedure that is
typically used to prevent maternal mortality from uterine hemorrhage and
sepsis. PPH was firstly performed at the end of the 19th century as a
life-saving procedure1. The incidence of PPH varies in
a range between 0.2 to 6.09 in 1000 deliveries2,3. The
important risk factors for PPH are age, previous cesarean sections,
previous uterine surgery, labor induction, placental invasion
abnormalities and uterine atony4,5. The recent studies
reported that the most common indication for PPH was placental invasion
anomalies3,6 although the uterine atony and uterine
rupture were the most frequent reasons to perform PPH in the
past7,8. The trend in increasing cesarean sections
might change the indications in favour of placental invasion
anomalies9. Most of the PPH was performed in an
unplanned or emergent situation to prevent life-threatening hemorrhage
after unsuccessful conservative approaches such as prostaglandins,
tamponade and compression sutures within 24 h of a delivery. The
morbidity or mortality rate increase with unprepared conditions such as
lack of surgical experience and insufficient blood transfusion.
Contrary, the prenatally diagnosed and planned cesarean hysterectomy
provide low intraoperative bleeding and
complications10. It also allows surgeons to be
prepared for safe surgical procedures, to prevent morbidities with no
increase in intra/postoperative complications11. The
aim of this study was to compare the intra- and post-operative outcomes
and neonatal outcomes of patients who underwent emergent or planned
peripartum hysterectomy.