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According to a survey by UKOSS, the UK Obstetric Surveillance System, the incidence of peripartum hysterectomy is 4 in 10,000 births (about 0.04% or 250 women a year in the UK). There is a strong association between hysterectomy and having a caesarean birth, and also between hysterectomy and multiple births. Having had a previous caesarean birth can increase the risk by 10 to 20 fold. The most common reason for having a hysterectomy following birth is because of placental problems such as placenta praevia and placenta accreta. (Source: ThirdStageofLabour.org).