In 2015 average rate in Russian Federation was reported near 5,53 % in obstetrics, but nowadays it tends to decrease because of wide use of intrauterine balloon and B-Lynch suture. Kind regards!
Attached are the outcome statistics published yearly in Israel for 96% of the births in Israel- in hebrew. CS, Vacuum, Twins, Prematurity, third and fourth degree tears, Maternal death, but hysterectomy is not in it.
A paper from Scandinavia + my paper on non-emergency hysterectomy
Acta Obstet Gynecol Scand. 2015 Jul;94(7):745-754. doi: 10.1111/aogs.12644. Epub 2015 Apr 30.
Emergency peripartum hysterectomy: results from the prospective Nordic Obstetric Surveillance Study (NOSS).
Jakobsson M1, Tapper AM2, Colmorn LB3, Lindqvist PG4, Klungsøyr K5,6, Krebs L7,8, Børdahl PE9,10, Gottvall K11,12, Källén K12,13, Bjarnadóttir RI14, Langhoff-Roos J3, Gissler M15; NOSS study group.
Abstract
OBJECTIVE:
To assess the prevalence and risk factors of emergency peripartum hysterectomy.
DESIGN:
Nordic collaborative study.
POPULATION:
605 362 deliveries across the five Nordic countries.
METHODS:
We collected data prospectively from patients undergoing emergency peripartum hysterectomy within 7 days of delivery from medical birth registers and hospital discharge registers. Control populations consisted of all other women delivering on the same units during the same time period.
MAIN OUTCOME MEASURES:
Emergency peripartum hysterectomy rate.
RESULTS:
The total number of emergency peripartum hysterectomies reached 211, yielding an incidence rate of 3.5/10 000 (95% confidence interval 3.0-4.0) births. Finland had the highest prevalence (5.1) and Norway the lowest (2.9). Primary indications included an abnormally invasive placenta (n = 91, 43.1%), atonic bleeding (n = 69, 32.7%), uterine rupture (n = 31, 14.7%), other bleeding disorders (n = 12, 5.7%), and other indications (n = 8, 3.8%). The delivery mode was cesarean section in nearly 80% of cases. Previous cesarean section was reported in 45% of women. Both preterm and post-term birth increased the risk for emergency peripartum hysterectomy. The number of stillbirths was substantially high (70/1000), but the case fatality rate stood at 0.47% (one death, maternal mortality rate 0.17/100 000 deliveries).
CONCLUSIONS:
A combination of prospective data collected from clinicians and information gathered from register-based databases can yield valuable data, improving the registration accuracy for rare, near-miss cases. However, proper and uniform clinical guidelines for the use of well-defined international diagnostic codes are still needed.
© 2015 Nordic Federation of Societies of Obstetrics and Gynecology.
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