Abstract：
OBJECTIVE: To assess the incidence of peripartum hysterectomy (PH) in Slovakia. Additionally, we wanted to describe reasons for the procedure, associated clinical circumstances, and complications.
METHODS: This was a descriptive, population-based study among women who underwent PH in Slovakia between January 2012 and December 2020. Peripartum hysterectomy was defined as surgical removal of the uterus from the peripartum period up to 42 days postpartum. Data were obtained retrospectively from the standardized questionnaires that are completed in Slovakia for any case of PH. The background population consisted of all other women who delivered during the study period.
RESULTS: Of the 436 136 births, there were 397 cases of PH, giving an incidence of 0.91 per 1000 births. It was higher with advanced maternal age, multiparity, multiple pregnancies, and cesarean deliveries. The main reasons for the procedure were placental pathologies and uterine atony in 52.9% and 33.0%, respectively. A total of 150 (37.8%) women required admission to an intensive care unit. The mortality rate was 1.5%.
CONCLUSIONS: The incidence of PH is relatively high in Slovakia when compared with other European countries, highlighting the need to improve prenatal diagnosis of morbidly adherent placenta and the management of peripartum hemorrhage.
METHODS: This was a descriptive, population-based study among women who underwent PH in Slovakia between January 2012 and December 2020. Peripartum hysterectomy was defined as surgical removal of the uterus from the peripartum period up to 42 days postpartum. Data were obtained retrospectively from the standardized questionnaires that are completed in Slovakia for any case of PH. The background population consisted of all other women who delivered during the study period.
RESULTS: Of the 436 136 births, there were 397 cases of PH, giving an incidence of 0.91 per 1000 births. It was higher with advanced maternal age, multiparity, multiple pregnancies, and cesarean deliveries. The main reasons for the procedure were placental pathologies and uterine atony in 52.9% and 33.0%, respectively. A total of 150 (37.8%) women required admission to an intensive care unit. The mortality rate was 1.5%.
CONCLUSIONS: The incidence of PH is relatively high in Slovakia when compared with other European countries, highlighting the need to improve prenatal diagnosis of morbidly adherent placenta and the management of peripartum hemorrhage.
摘要：
目的：评估斯洛伐克围产期子宫切除术（PH）的发生率。此外,我们想描述手术的原因，相关的临床情况，和并发症。
方法：这是一个描述性的，2012年1月至2020年12月在斯洛伐克接受PH治疗的女性人群研究.围产期子宫切除术定义为从围产期手术切除子宫至产后42天。数据是从斯洛伐克完成的任何PH病例的标准化问卷中回顾性获得的。背景人群包括在研究期间分娩的所有其他妇女。
结果：在436136名新生儿中，有397例PH,每1000名新生儿的发病率为0.91名。产妇年龄越高，多重奇偶校验，多胎妊娠,和剖腹产。手术的主要原因是胎盘病变和子宫收缩乏力，分别占52.9%和33.0%，分别。共有150名（37.8％）妇女需要进入重症监护病房。死亡率为1.5%。
结论：与其他欧洲国家相比，斯洛伐克的PH发病率相对较高，强调需要改善病态粘连胎盘的产前诊断和围产期出血的管理。
方法：这是一个描述性的，2012年1月至2020年12月在斯洛伐克接受PH治疗的女性人群研究.围产期子宫切除术定义为从围产期手术切除子宫至产后42天。数据是从斯洛伐克完成的任何PH病例的标准化问卷中回顾性获得的。背景人群包括在研究期间分娩的所有其他妇女。
结果：在436136名新生儿中，有397例PH,每1000名新生儿的发病率为0.91名。产妇年龄越高，多重奇偶校验，多胎妊娠,和剖腹产。手术的主要原因是胎盘病变和子宫收缩乏力，分别占52.9%和33.0%，分别。共有150名（37.8％）妇女需要进入重症监护病房。死亡率为1.5%。
结论：与其他欧洲国家相比，斯洛伐克的PH发病率相对较高，强调需要改善病态粘连胎盘的产前诊断和围产期出血的管理。
