Huque S, et al. - Considering the observation that most studies of peripartum hysterectomy are from high income countries, researchers examined risk factors for peripartum hysterectomy using data from Africa, Asia, Europe and the Americas. Data from the World Maternal Antifibrinolytic (WOMAN) trial carried out in 193 hospitals in 21 countries demonstrated that placenta praevia/accreta is associated with a higher risk of peripartum hysterectomy. Other risk factors for hysterectomy are advanced maternal age, caesarean section and giving birth in Asia. Peripartum hysterectomy can cause significant morbidity and mortality.