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Causes and Factors Affecting Cesarean Hysterectomy: A Retrospective Study
Ghazal Mansouri1, Fatemeh Karami Robati2, Azam Dehghani2
1Department of Obstetrics and Gynecology, School of Medicine, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman 76169-13555, Iran.
Medicina (Kaunas, Lithuania)
|March 27, 2025
Summary
Cesarean hysterectomy, often needed for severe postpartum hemorrhage, is linked to complications like bladder injury. Higher BMI and multiple prior cesarean sections increase complication risks.
Area of Science:
- Obstetrics and Gynecology
- Surgical Complications
- Maternal Health
Background:
- Cesarean hysterectomy is a critical intervention for life-threatening postpartum hemorrhage (PPH).
- Complications arise from conditions like uterine atony, abnormal placentation, or rupture.
- This procedure, though lifesaving, carries significant risks.
Purpose of the Study:
- To investigate the primary causes of cesarean hysterectomy.
- To identify and analyze the complications associated with this procedure.
- To determine risk factors predicting complications.
Main Methods:
- Retrospective analysis of 82 women undergoing cesarean hysterectomy (2018-2022).
- Data collected included demographics, obstetric history, indications, causes, and complications.
- Stepwise logistic regression identified predictors of complications.
Main Results:
- Abnormal placentation (e.g., placenta accreta) was the most common cause (58%).
- Bladder injury (33.33%) and fever (20%) were the most frequent complications.
- Higher BMI (OR=4.18) and more previous cesarean sections (OR=2.30) significantly predicted complications.
Conclusions:
- Placenta accreta/previa are leading causes of cesarean hysterectomy.
- Bladder injury and fever are common complications.
- Identifying risk factors like high BMI and prior cesareans aids in better patient management and preoperative planning.
