When a hysterectomy is performed at the time of cesarean delivery of a newborn, it is often a lifesaving procedure. The need for cesarean hysterectomy is rare, occurring in one in five hundred deliveries, or one in a hundred cesarean sections, usually because of excessive uncontrolled bleeding at the time of delivery. Uncontrolled bleeding at the time of delivery most often occurs in conjunction with an abnormal placental attachment, whereby the placenta has invaded into the uterine muscle and cannot be separated without hemorrhage. This rare condition is called placenta accreta.
Hysterectomy may also be needed to control blood loss in the situa-
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