Article

Risk factors for hysterectomy among patients with placenta previa totalis

Authors: Korkut Daglar M.D. (Zekai Tahir Burak Women’s Health Education and Research Hospital, Talatpaşa Bulvarı, Hamamönü, Altındağ, 06230 Ankara, Turkey) , Aytekin Tokmak M.D. (Zekai Tahir Burak Women’s Health Education and Research Hospital, Talatpaşa Bulvarı, Hamamönü, Altındağ, 06230 Ankara, Turkey.) , Ayse Kirbas M.D. (Zekai Tahir Burak Women’s Health Education and Research Hospital, Talatpaşa Bulvarı, Hamamönü, Altındağ, 06230 Ankara, Turkey.) , Ozgur Kara M.D. (Zekai Tahir Burak Women’s Health Education and Research Hospital, Talatpaşa Bulvarı, Hamamönü, Altındağ, 06230 Ankara, Turkey) , Hakan Timur M.D. (Zekai Tahir Burak Women’s Health Education and Research Hospital, Talatpaşa Bulvarı, Hamamönü, Altındağ, 06230 Ankara, Turkey) , Dilek Uygur Assoc. Prof., M.D. (Zekai Tahir Burak Women’s Health Education and Research Hospital)

  • Risk factors for hysterectomy among patients with placenta previa totalis

    Article

    Risk factors for hysterectomy among patients with placenta previa totalis

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Abstract

Objective: The aim of the study is to assess risk factors for hysterectomy among patients with placenta previa totalis (PPT).

Methods: The medical records of all patients delivered by cesarean section (CS) for PPT were retrospectively reviewed. Eligible cases were divided into those who underwent peripartum hysterectomy (PH) and those who did not. The two groups were compared in terms of demographics, operative features and perinatal outcomes. Logistic regression analysis was used to identify risk factors associated with hysterectomy.

Results: PH was performed in 43 (44.7%) patients with PPT. Referral patients were older when compared with those without hysterectomy (p: 0.029). The median values for gravidity, parity, number of live children and previous CS were statistically significantly higher in the hysterectomy group (p<0.05). Perioperative need for blood transfusion, anteriorly placed placenta and abnormal placental invasion were statistically significantly more frequent in the hysterectomy group (p<0.001). Intraoperative complication rate was higher in this group, and bladder injury was the most common complication. No significant differences were observed between the groups in terms of perinatal outcomes. In binomial logistic regression analysis; advanced maternal age (≥ 31 years), number of previous CS (≥2), preoperative need for blood transfusion, and abnormal placental invasion were found to be independent risk factors for PH in patients with PPT.

Conclusion: The findings of this study suggest that placenta invasion anomaly, advanced maternal age, increased number of previous CS, and increased need for blood transfusion are important risk factors for PH in patients with PPT.

Keywords: Placenta previa, placenta accreta, peripartum hysterectomy, Cesarean section

How to Cite:

Daglar, K., M.D. & Tokmak, A., M.D. & Kirbas, A., M.D. & Kara, O., M.D. & Timur, H., M.D. & Uygur, D., Assoc. Prof., M.D., (2016) “Risk factors for hysterectomy among patients with placenta previa totalis”, Proceedings in Obstetrics and Gynecology 6(2), 1-10. doi: https://doi.org/10.17077/2154-4751.1319

Rights: Copyright © 2016 the authors

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Published on
01 Jan 2016
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CC BY 4.0