**3. Incidence**

The prevalence of PH is reported more frequently in low-resource countries compared to developed countries. In a systematic review and meta-analysis, the estimated overall weighted mean prevalence was reported as 0.9 per 1000 deliveries. Prevalence ranged from 0.2 in some Scandinavian countries to 10.1 per 1000 deliveries in India [6]. Possible reasons for these observed variations are listed in **Table 1** [6, 7].

Additionally, PH is more performed after cesarean section compared to vaginal deliveries [8]. The higher PH rates associated with cesarean sections can be attributed to a higher occurrence of abnormally invasive placentation in these women [1].

If we focus on factors influencing the incidences of peripartum hysterectomies, a strong correlation was observed between the national cesarean section rate and the prevalence of peripartum hysterectomy [9]. Hospitals with high delivery volumes and high rates of hysterectomies saw the largest increases in peripartum hysterectomy rates [10].

Overall, the prevalence or incidence of peripartum hysterectomy is influenced by various factors such as the rate of cesarean section, previous cesarean section, and hospital delivery volume.
