Peripartum hysterectomy in a teaching hospital in the eastern region of Turkey.
Sir, We read with great interest the article by Ozden et al. . It related that the uterine atony was the most common indication (62.7%) for emergent peripartum hysterectomy (EPH), and the rate in primiparous and multiparous women were 61.1 and 65.2%, respectively. In a recently published article in another journal, Zeteroglu also presented uterine atony was the most common indication (45.8%) for EPH . Zeteroglu’s data showed that the rate of EPH in primiparous and multiparous women were 50.0 and 45.5%, respectively. Ozden’s data resemble Zeteroglu’s data in the equality of the ratio of primiparous and multiparous women who underwent EPH. Zeteroglu proceeded with the data, and found that uterine atony was more common in grandmultiparous women (64.3%) (gravidity 5–15, medium 11.5) than that of multiparaous women (12.5%) (gravidity 2–4, medium 3). In contrast, Ozden has not proceeded with the data like Zeteroglu. Ozden’s study would have become better research if the further analyzed data and the discussion had been added to their study.