{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:23:28Z","timestamp":1790666608716,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,11,8]],"date-time":"2018-11-08T00:00:00Z","timestamp":1541635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Emergency peripartum hysterectomy (<jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content>) is a life\u2010saving obstetric procedure reserved for conditions where medical treatment and conservative surgery have failed. <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> is associated with significant morbidity and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine the incidence, indications, risk factors, maternal and neonatal outcomes of <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> in a tertiary hospital in Western Australia (WA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodology<\/jats:title><jats:p>A retrospective case\u2010note analysis of all cases of <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> performed at King Edward Memorial Hospital in <jats:styled-content style=\"fixed-case\">WA<\/jats:styled-content> between the years 2006 and 2016. The incidence, indications, risk factors, maternal and neonatal outcomes were reviewed. All cases were ascertained via our hospital obstetric database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 72 cases of <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> were identified among 64\u00a0999 births. The incidence of <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> in WA was 1.1 per 1000 deliveries. Abnormal placentation was the main indication for <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> accounting for 66.7% of cases. Among women undergoing an <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content>, 22.2% had a history of one previous caesarean section and 33.3% had two or more caesarean sections, respectively. Maternal morbidity was significant. There was one cardiac arrest secondary to hypovolaemia, and 84% of the women received blood transfusions with more than half of these women meeting the criteria for massive transfusion protocol (\u22654 units of packed red cells). Urinary tract injury and venous thromboembolism were some of the other complications among our cohort of women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content> is associated with significant morbidity. Our study identifies abnormal placentation as the leading cause of <jats:styled-content style=\"fixed-case\">EPH<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12922","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T06:44:05Z","timestamp":1541745845000},"page":"533-537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Emergency peripartum hysterectomy in a Western Australian population: Ten\u2010year retrospective case\u2010note analysis"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4148-3788","authenticated-orcid":false,"given":"Kaushalya","family":"Arulpragasam","sequence":"first","affiliation":[{"name":"King Edward Memorial Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Hyanes","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Epee\u2010Bekima","sequence":"additional","affiliation":[{"name":"King Edward Memorial Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,8]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Mackenzie\u2010ProctorR HarilallM.Emergency Peripartum Hysterectomy. 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