ABSTRACT

Introduction: Peripartum hysterectomy is a destructive complication and termination of pregnancy, especially in women who have tended to maintain fertility. It seems that by identifying the risk factors related to placenta accreta syndromes and, on the other hand, increasing skills in proper and timely management of postpartum hemorrhage, better results can be achieved in reducing the frequency and complications of this operation.

Materials and Methods: This cross-sectional study was conducted on 92 pregnant women who underwent peripartum hysterectomy due to control of postpartum hemorrhage and placenta accreta syndrome during 2016 to 2020.

Results: The results showed that 77.2% of all women in the statistical population underwent hysterectomy due to placenta accreta. In 82.2% of cases, the correct diagnosis of placenta accreta was made with 2D and Doppler ultrasound. A direct relationship was shown between the presence of placenta previa and hysterectomy. 68.5% of hysterectomies were performed in emergency conditions due to accreta syndromes. 67.4% of patients did not have any complications during and after surgery.

Discussion and Conclusion: The results of this study research that the most common hysterectomy is related to placenta accreta, which is a type of hysterectomy related to placenta previa due to abnormal placenta accreta. The mortality and mobility resulting from this surgery can be reduced by correctly identifying accreta syndromes using prenatal ultrasound and performing elective surgery with the presence of a multidisciplinary team.

Keywords: Hysterectomy, Peripartum, Placenta Accreta, Postpartum Hemorrhage