Peripartum hysterectomy between 2009 and 2010 in Sichuan, China

Chen, Meng; Zhang, Li; Wei, Qiang; Fu, Xiaodong; Gao, Qian; Liu, Xinghui

doi:10.1016/j.ijgo.2012.09.012

Cited by 16 publications

(14 citation statements)

References 21 publications

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“…32,59,70,84,99,113,116,117,139 Second, larger population-based studies are needed to make statements with more vigor, for instance through the International Network of Obstetric Surveillance Systems. Finally, the cohort of women in low-income settings may include individuals who were in a personal highincome bracket, just like the other way around.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide

Akker

Brobbel

Dekkers

et al. 2016

Obstetrics &Amp; Gynecology

133

146

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Section: Discussionmentioning

confidence: 99%

“…10,24,31,56,59,61,63,64,66,67,[85][86][87][88][90][91][92][93][94][95][96][97][98][102][103][104]110,112,113,[115][116][117]119 Some mentioned other risk indicators. * Includes both uterine rupture and extension of uterine incision.…”

Section: Inclusion Is Summarized Inmentioning

confidence: 99%

Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide

Akker

Brobbel

Dekkers

et al. 2016

Obstetrics &Amp; Gynecology

133

146

View full text Add to dashboard Cite

show abstract

“…Cesarean births seem to have higher risks of neonatal injury as reported by Cai 53. And repeated cesareans were associated with higher hysterectomy 55. However, the associations of cesarean section with other clinical outcomes were not profound; for example, overactive bladder, lower urinary tract storage symptoms, incontinence, vertical transmission of Chlamydia trachomatis , intraventricular hemorrhage in preterm babies, intrapartum fetal death, neonatal respiratory distress syndrome, and low neonatal Apgar scores.…”

Section: Consequences Of Cesarean Sectionsmentioning

confidence: 94%

Cesarean section in the People’s Republic of China: current perspectives

Feng¹,

Wang²,

An³

et al. 2014

IJWH

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ObjectiveTo review the current knowledge on the prevalence, reasons, and consequences of cesarean sections in the People’s Republic of China.MethodsPeer-reviewed articles were systematically searched on PubMed. The following Chinese databases were comprehensively searched: the China National Knowledge Infrastructure, Wanfang, and the VIP information. The databases were searched from inception to September 1, 2013. Two reviewers independently screened the titles and abstracts for eligibility. Full texts of eligible papers were reviewed, where relevant references were hand-searched and reviewed.FindingsSixty articles were included from PubMed, 17 articles were intentionally picked out from Chinese journals, and five additional articles were added, for a total of 82 articles for the analysis. With a current national rate near 40%, the literature consistently reported a rapid rise of cesarean sections in the People’s Republic of China in the past decades, irrespective of where people lived or their socioeconomic standing. Nonclinical factors were considered as the main drivers fueling the rise of cesareans in the People’s Republic of China. There was a lively debate on whether women’s preferences or providers’ distorted financial incentives affected the rise in cesarean sections. However, recent evidence suggests that it might be the People’s Republic of China’s health development approach – focusing on specialized care and marginalizing primary care – that is playing a role. Although 30 articles were identified studying the consequences of cesareans, the methodologies are in general weak and the themes are out of focus.ConclusionThe overuse of cesareans is rising alarmingly in the People’s Republic of China and has become a real public health problem. No consensus has been made on the leverage factors that drive the cesarean epidemic, particularly for those nonclinical factors. The more macro level structural factors may have played a part, though further research is warranted to understand the mechanisms. Knowledge of the consequences of cesareans, particularly for women, is limited in the People’s Republic of China, leaving a substantial literature gap.

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“…15,29,30 One study that did not find an association with hysterectomy may have been underpowered, as they only had two cases of abruption among the hysterectomy group, but it was unclear how many cases of abruption presented in the overall study population. 31 We classify cesarean delivery, relaparotomy, and hysterectomy as obstetric morbidities, but it is important to note that cesarean delivery is often necessary in the setting of placental abruption to limit further oxygen deprivation to the fetus; to reduce blood loss for the mother; and, in extreme cases, to prevent the death of the fetus, the mother, or both. 2 Similarly, relaparotomy and hysterectomy are often necessary and life-saving measures when they are performed.…”

Section: Obstetrical Morbiditymentioning

confidence: 99%

Maternal, Labor, Delivery, and Perinatal Outcomes Associated with Placental Abruption: A Systematic Review

2017

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Objective Risk factors for placental abruption have changed, but there has not been an updated systematic review investigating outcomes. Methods We searched PubMed, EMBASE, Web of Science, SCOPUS, and CINAHL for publications from January 1, 2005 through December 31, 2016. We reviewed English-language publications reporting estimated incidence and/or risk factors for maternal, labor, delivery, and perinatal outcomes associated with abruption. We excluded case studies, conference abstracts, and studies that lacked a referent/comparison group or did not clearly characterize placental abruption. Results A total of 123 studies were included. Abruption was associated with elevated risk of cesarean delivery, postpartum hemorrhage and transfusion, preterm birth, intrauterine growth restriction or low birth weight, perinatal mortality, and cerebral palsy. Additional maternal outcomes included relaparotomy, hysterectomy, sepsis, amniotic fluid embolism, venous thromboembolism, acute kidney injury, and maternal intensive care unit admission. Additional perinatal outcomes included acidosis, encephalopathy, severe respiratory disorders, necrotizing enterocolitis, acute kidney injury, need for resuscitation, chronic lung disease, infant death, and epilepsy. Conclusion Few studies examined outcomes beyond the initial birth period, but there is evidence that both mother and child are at risk of additional adverse outcomes. There was also considerable variation in, or absence of, the reporting of abruption definitions.

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Peripartum hysterectomy between 2009 and 2010 in Sichuan, China

Abstract: Placenta previa, uterine atony, repeat cesarean delivery, low birth weight, and multiparity were risk factors for PH among the study population.

Cited by 16 publications

References 21 publications

Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide

Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide

Cesarean section in the People’s Republic of China: current perspectives

Maternal, Labor, Delivery, and Perinatal Outcomes Associated with Placental Abruption: A Systematic Review

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Peripartum hysterectomy between 2009 and 2010 in Sichuan, China

Abstract: Placenta previa, uterine atony, repeat cesarean delivery, low birth weight, and multiparity were risk factors for PH among the study population.

Cited by 16 publications

References 21 publications

Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide

Prevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide

Cesarean section in the People&rsquo;s Republic of China: current perspectives

Maternal, Labor, Delivery, and Perinatal Outcomes Associated with Placental Abruption: A Systematic Review

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Cesarean section in the People’s Republic of China: current perspectives