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These were matched with 248 control patients.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results:<\/jats:bold> The incidence rate of EPH was 9.9\/10,000. Patients whose current delivery was vaginal, and had a cesarean section (CS) in their history had a six-fold risk for EPH. Women who underwent their first CS had a nine times higher risk, while patients who currently underwent CS and had a history of previous CS, had a 22 times higher risk. Those who experienced prostaglandin-E<jats:sub>1<\/jats:sub> induction had a five-fold risk. Maternal age &gt;35 years, previous curettage, and twin pregnancy were identified as significant risk factors. In 41 cases, interventions to reduce bleeding were performed.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusion:<\/jats:bold> Obstetric emergency training and guidelines for massive hemorrhage should be established in any delivery department. Moreover, all possible precautions should be taken to avoid the first CS if it is obstetrically unnecessary. Induction with prostaglandin-E<jats:sub>1<\/jats:sub>, maternal age &gt;35 years, previous curettage, twin pregnancies, and early gestation were identified as risk factors for EPH.<\/jats:p>","DOI":"10.1515\/jpm-2013-0348","type":"journal-article","created":{"date-parts":[[2014,5,21]],"date-time":"2014-05-21T12:49:13Z","timestamp":1400676553000},"page":"721-728","source":"Crossref","is-referenced-by-count":12,"title":["Emergency peripartum hysterectomy and risk factors by mode of delivery and obstetric history: a 10-year review from Helsinki University Central Hospital"],"prefix":"10.1515","volume":"43","author":[{"given":"Georg","family":"Macharey","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veli-Matti","family":"Ulander","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karel","family":"Kostev","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University Hospital of Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mervi","family":"V\u00e4is\u00e4nen-Tommiska","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Helsinki University Central Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Ziller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital of Marburg, Marburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2014,4,16]]},"reference":[{"key":"2023031403222336624_j_jpm-2013-0348_ref_001_w2aab2b8b7b1b7b1ab2ab1Aa","doi-asserted-by":"crossref","unstructured":"Al-Zirqi I, Vangen S, Forsen L, Stray-Pedersen B. 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