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Peripartum hysterectomy for management of hemorrhage

Daniela A Carusi, MD, MSc
Section Editors
Charles J Lockwood, MD, MHCM
Howard T Sharp, MD
Deputy Editor
Kristen Eckler, MD, FACOG


Peripartum hysterectomy can be defined as a hysterectomy performed at the time, or within 24 hours, of delivery. Another definition is a hysterectomy performed any time from delivery to discharge from the same hospitalization. This topic will review the surgical planning, key operative points, and postoperative care for peripartum hysterectomy.

Related topics can be found separately and include:

(See "Abdominal hysterectomy".)

(See "Overview of preoperative evaluation and preparation for gynecologic surgery".)


The most recent population-level study shows a peripartum hysterectomy rate of nearly one per 1000 deliveries (eg, 0.1 percent) in the United States [1]. In addition to abnormal placentation, other significant risk factors for peripartum hysterectomy include advanced maternal age and parity, multiple gestations, antepartum bleeding, preeclampsia, bleeding disorders, and the use of assisted reproductive technologies [2-7]. While the majority of patients with these risk factors will experience neither major hemorrhage nor hysterectomy, patients who have multiple risk factors or a history of prior postpartum hemorrhage should deliver in a setting where hysterectomy is readily available if needed.

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Literature review current through: Dec 2017. | This topic last updated: Nov 20, 2017.
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