{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:23:24Z","timestamp":1792787004494,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,4,30]],"date-time":"2015-04-30T00:00:00Z","timestamp":1430352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NFOG Foundation (Nordic Federation of Societies of Obstetrics and Gynecology)"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the prevalence and risk factors of emergency peripartum hysterectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Nordic collaborative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>605\u00a0362 deliveries across the five Nordic countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We collected data prospectively from patients undergoing emergency peripartum hysterectomy within 7\u00a0days 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Emergency peripartum hysterectomy rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The total number of emergency peripartum hysterectomies reached 211, yielding an incidence rate of 3.5\/10\u00a0000 (95% confidence interval 3.0\u20134.0) births. Finland had the highest prevalence (5.1) and Norway the lowest (2.9). Primary indications included an abnormally invasive placenta (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      91, 43.1%), atonic bleeding (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      69, 32.7%), uterine rupture (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      31, 14.7%), other bleeding disorders (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      12, 5.7%), and other indications (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\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\u2010term 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\u00a0000 deliveries).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A combination of prospective data collected from clinicians and information gathered from register\u2010based databases can yield valuable data, improving the registration accuracy for rare, near\u2010miss cases. However, proper and uniform clinical guidelines for the use of well\u2010defined international diagnostic codes are still needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.12644","type":"journal-article","created":{"date-parts":[[2015,4,3]],"date-time":"2015-04-03T14:42:57Z","timestamp":1428072177000},"page":"745-754","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Emergency peripartum hysterectomy: results from the prospective Nordic Obstetric Surveillance Study (\n                    <scp>NOSS<\/scp>\n                    )"],"prefix":"10.1111","volume":"94","author":[{"given":"Maija","family":"Jakobsson","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Helsinki University Central Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna\u2010Maija","family":"Tapper","sequence":"additional","affiliation":[{"name":"Hyvink\u00e4\u00e4 Hospital Area Helsinki and Uusimaa Hospital District Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotte Berdiin","family":"Colmorn","sequence":"additional","affiliation":[{"name":"Juliane Marie Centre Department of Obstetrics Rigshospitalet Copenhagen University Hospital Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pelle G.","family":"Lindqvist","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Clinitec, Karolinska Institute Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari","family":"Klungs\u00f8yr","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care University of Bergen Bergen Norway"},{"name":"Medical Birth Registry of Norway Norwegian Institute of Public Health Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lone","family":"Krebs","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Holbaek Hospital Holbaek Denmark"},{"name":"University of Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per E.","family":"B\u00f8rdahl","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Haukeland University Hospital Haukeland Norway"},{"name":"University of Bergen Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Gottvall","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Karolinska Institute Stockholm Sweden"},{"name":"Epidemiology and Methodological Support Unit Department of Evaluation and Analysis National Board of Health and Welfare Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"K\u00e4ll\u00e9n","sequence":"additional","affiliation":[{"name":"Epidemiology and Methodological Support Unit Department of Evaluation and Analysis National Board of Health and Welfare Stockholm Sweden"},{"name":"Department of Obstetrics and Gynecology Institution of Clinical Sciences University of Lund Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragnhei\u00f0ur I.","family":"Bjarnad\u00f3ttir","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Landspitali University Hospital Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Langhoff\u2010Roos","sequence":"additional","affiliation":[{"name":"Juliane Marie Centre Department of Obstetrics Rigshospitalet Copenhagen University Hospital Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Gissler","sequence":"additional","affiliation":[{"name":"THL National Institute for Health and Welfare Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the NOSS study group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60686-8"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12148"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.10.033"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12639"},{"key":"e_1_2_10_6_1","unstructured":"GisslerM VuoriE.Perinatal statistics in Nordic countries 2012.Helsinki Finland:National Research and Development Centre for Welfare and Health 2014. 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