A Comprehensive Overview on Peripartum Hysterectomy in Modern Obstetrics

Abstract Background: The objective was to describe the changing trends in etiopoathogensis incidence, indications, risk factors, outcomes, and management of peripartum hysterectomy globally. Peripartum hysterectomy (PH) is performed predominantly when, “Saving life is more important than saving uterus”. It is performed for severe obstetric hemorrhage that is unresponsive to conservative methods. The risk factor for peripartum hysterectomy has changed from PPH to morbidly adherent placenta over time, ever since the cessarean sevtion rates are high. Conclusion: Placenta accreta spectrum is the leading cause of peripartum hysterectomy and was associated with significant and mortality. In view of the rising incidence of placenta previa accreta, all over the world, the need for peripartum hysterectomy may be on the rise.