Open Journal of Obstetrics and Gynecology, 2017, 7, 258-268 http://www.scirp.org/journal/ojog ISSN Online: 2160-8806 ISSN Print: 2160-8792 DOI: 10.4236/ojog.2017.72028 February 28, 2017 Peripartum Hysterectomy in Misan Province during 2014-2016 Saba J. Al Heshemi Department of Gynecology & Obstetrics in College of Medicine, College of Medicine, Misan University, Misan, Iraq Abstract Background: Peripartum hysterectomy is the procedure of removing the ute- rus after vaginal delivery or cesarean birth; it remains a life-saving procedure in cases of severe uterine hemorrhage. Objective: To know the incidence of peripartum hysterectomy in Misan province, what is the main cause of this procedure, and if there is any change in the incidence of this procedure during a 3 year study period. Method: A descriptive cross sectional study was done in Misan province for all cases of peripartum hysterectomy during the period from 2014-2016. All information regarding present pregnancy, previous ob- stetric history, the cause of peripartum hysterectomy, any complications & infant outcome, were taken from the case sheet & from the patients them- selves. 50 patients were enrolled in this study, and only 30 patients needed pe- ripartum hysterectomy and 20 patients’ uterus were saved by repair surgery. Results: During the study period of 3 years, there was 72,720 deliveries, and during that time 30 peripartum hysterectomies were carried out of the 50 cas- es studied, which gave an incidence of 0.4/1000 deliveries. The patients were diagnosed as: rupture uterus in 30 (60%) cases, adherent placenta in 14 (28%) & 6 (12%) cases had atonic uterus. The major postoperative complication was anemia which complicated 23 (46%) cases, & then bladder injury 5 (10%). Admission to ICU was needed for 24 (48%) cases. There were 32 (64%) cases needed ≥4 units of blood transfusion. There were 38 (76%) cases stayed in hospital for ≥4 days. The most common cause for peripartum hysterectomy was for adherent placenta (28%) & rupture uterus (20%). Conclusion: The in- cidence of peripartum hysterectomy was 0.4/1000 (0.04%) deliveries. The most common reason behind peripartum hysterectomy was for adherent placenta and next was for uterine rupture. The rate of this procedure was not changed during the study period. Keywords Peripartum Hysterectomy, Primary Postpartum Hemorrhage, Rupture Uterus, Adherent Placenta How to cite this paper: Al Heshemi, S.J. (2017) Peripartum Hysterectomy in Misan Province during 2014-2016. Open Journal of Obstetrics and Gynecology, 7, 258-268. https://doi.org/10.4236/ojog.2017.72028 Received: January 9, 2017 Accepted: February 25, 2017 Published: February 28, 2017 Copyright © 2017 by author and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access