Peri-Partum Hysterectomy Over A 15 Year Period In A Tertiary Hospital; A Review And Discussion Of The Histopathological Diagnoses

Author(s): Dr Katie Beauchamp, Dr Emma Doyle

Peri-partum hysterectomy (PH) is a life-saving procedure for massive obstetric haemorrhage. It is most commonly performed at the time of delivery in the setting of placenta accreta spectrum (PAS). The number of PH is increasing, likely secondary to the increasing rates of PAS and increasing caesarean section rates. Other causes of postpartum haemorrhage include uterine atony, vascular injury, retained placenta and subinvolution. Meticulous macroscopic and microscopic examination along with appropriate clinical details are essential in the diagnoses in these often-complex specimens.