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A retrospective cohort study of consecutive peripartum hysterectomies at our institution from 1988 through 2012; scheduled hysterectomies were excluded. Medical records were reviewed and maternal, foetal and surgical data collected for each subject. Maternal <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> was categorized by the <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ational <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nstitute of <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth classifications for overweight and obese. Statistical analyses included evaluation for trend. A total of 360\u2009774 women delivered at <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>arkland <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital during the study period with 665 (1.8 per 1000 deliveries) unscheduled peripartum hysterectomies performed. <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> was available for 635 women. Gestational diabetes, chronic hypertension and pregnancy\u2010related hypertension were significantly higher in all three obesity categories, <jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content>\u2009=\u2009&lt;\u20090.01. Post\u2010partum complications, such as venous thrombosis and composite surgical morbidity did not differ among <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> groups. Estimated blood loss and units transfused did not differ across the <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> categories, <jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content>\u2009=\u20090.42 and <jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content>\u2009=\u20090.38, respectively. Increasing <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> was associated with longer surgical times and more wound infections, <jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content>\u2009=\u20090.01. These complications should be considered when approaching a peripartum hysterectomy in patients with obesity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cob.12090","type":"journal-article","created":{"date-parts":[[2015,3,18]],"date-time":"2015-03-18T08:34:48Z","timestamp":1426667688000},"page":"72-78","source":"Crossref","is-referenced-by-count":5,"title":["Effect of body mass index on maternal morbidity following peripartum hysterectomy"],"prefix":"10.1111","volume":"5","author":[{"given":"A. C.","family":"Wortman","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology The University of Texas Southwestern Medical School  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. S.","family":"Hernandez","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology The University of Texas Southwestern Medical School  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. 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