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Obstetric hysterectomy is a surgical procedure in which the uterus is removed during pregnancy or delivery due to a severe obstetric complication that threatens the life of the mother or fetus. The aim of the study was to interpret the complications of obstetric hysterectomy by systematic review using PRISMA 2020 methodology. The study belonged to the exploratory level, using hermeneutics to interpret the systematic review carried out with the PRISMA 2020 methodology. Specifically, 81 results were obtained, including 51 in SCOPUS and 30 in the Web of Science. The authors provided answers to six scientific questions that guided the entire study. Among the results obtained, it is worth highlighting that the prevention and management of obstetric hysterectomy complications depend not only on postoperative strategies, but also on the adequate selection of the surgical technique and the identification and management of preoperative risk factors. In addition, the most common obstetric complications encountered were found to be postoperative hemorrhage and surgical wound infection. Obstetric hysterectomy is an important surgical procedure that can have significant complications. It is essential to continue researching and evaluating effective strategies to prevent and manage these complications, and to consider multiple factors that influence their occurrence. [ABSTRACT FROM AUTHOR]