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.