Abstract
The objective of this study was to determine the trends in national rates of peripartum hysterectomy (PH) and uterine arterial embolization (UAE) in Korea. We used data collected by the Health Insurance Review & Assessment Service of Korea and analyzed data from patients who gave birth during the period from 2005 to 2008. There were 1785,178 deliveries during the study period, including 2636 cases of PH (1.48 per 1000 deliveries). The PH rate in 2005 was 1.57 per 1000 deliveries and in 2008 it was 1.33 per 1000 deliveries. UAE was performed in 161 women (incidence, 0.38 per 1000 deliveries) and 447 women (incidence, 0.98 per 1000 deliveries) in 2005 and 2008, respectively. In Korea, the rate of PH decreased slightly, while the rate of UAE rate increased dramatically during the period from 2005 to 2008. Further studies are needed to evaluate the effects of UAE on the rate of PH performed.
Highlights
A peripartum hysterectomy (PH) is a procedure performed at the time of delivery or in the immediate postpartum period as a life-saving measure in response to severe postpartum hemorrhage that does not respond to any other interventions [1]
Multiple factors are likely to affect the trend in the PH rate, and the observed trend may reflect complex changes in the rates of risk factors
The rate of multiparity decreased and the rate of cesarean delivery, which is cited by the majority of modern reviews as the major risk factor for PH [4,11,17,19], and which was the most common factor for PH among various risk factor in this study, decreased in contrast to the trend reported by other studies [20,21]
Summary
A peripartum hysterectomy (PH) is a procedure performed at the time of delivery or in the immediate postpartum period as a life-saving measure in response to severe postpartum hemorrhage that does not respond to any other interventions [1]. The results from studies that evaluated trends in the number of peripartum hysterectomies performed over time are mixed [4,7,8,9,10]. These discrepancies between studies may be due to the fact that these studies were conducted in single institutions and the sample sizes were small. These data are not appropriate to obtain reliable nationwide rate estimates [4]. Only a handful of studies have examined PH rates in total populations of a nation or region [1,4,10,11]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
