Recurrence of post‐partum hemorrhage in women with a history of uterine artery embolization

2019 ◽  
Vol 46 (1) ◽  
pp. 119-123
Author(s):  
Hitomi Imafuku ◽  
Hideto Yamada ◽  
Mayumi Morizane ◽  
Kenji Tanimura

2015 ◽  
Vol 212 (1) ◽  
pp. S270-S271
Author(s):  
Sarah Poggi ◽  
Alessandro Ghidini ◽  
Andrew Yaeger ◽  
Arletta Van Breda ◽  
Yesmean Wahdan


2017 ◽  
Vol 7 (1) ◽  
pp. 20-23
Author(s):  
Saumya Gupta ◽  
T.B.S. Buxi ◽  
Deeksha Rastogi ◽  
Samarjit Ghuman ◽  
Shweta Mittal ◽  
...  




2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Béatrice Eggel ◽  
Maude Bernasconi ◽  
Thibaud Quibel ◽  
Antje Horsch ◽  
Yvan Vial ◽  
...  

AbstractIn this case control study, long-term gynecological, reproductive and sexual outcomes after uterine artery embolization (UAE) for postpartum hemorrhage (PPH) were evaluated. The study was performed in a single referral hospital for PPH in Lausanne from 2003 to 2013. Each woman whose delivery was complicated by PPH and treated by UAE was included, and compared to a control group of women whose delivery was uncomplicated. Cases were matched by maternal age, parity, ethnicity, year and mode of delivery, birth weight and gestational age in a 1–3 ratio. A total of 77 patients treated by UAE for PPH were identified in our obstetrical database. Among them, 63 were included and compared to 189 matched patients (no PPH). The mean interval time between UAE and this study was 8.1 years. Time to menstrual cycle recovery after delivery (3.9 vs 5.6 months, p = 0.66), spotting (7.9% vs 7.2%, p = 0.49), dysmenorrhea (25.4% vs 22.2%, p = 0.60) and amenorrhea (14.3% vs 12.2%, p = 0.66) were similar between the two groups. There was no difference in the FSFI score between the groups (23.2 ± 0.6 vs 23.8 ± 0.4; p = 0.41). However, the interval time to subsequent pregnancy was longer for patients after UAE than the control group (35 vs 18 months, p = 0.002). In case of pregnancy desire, the success rate was lower after UAE compared to controls (55% vs 93.5%, p < 0.001). The rate of PPH was higher in those with previous PPH (6.6% vs 36.4%, p = 0.010). Patients treated by UAE for PPH did not report higher rates of gynecological symptoms or sexual dysfunction compared to patients with uneventful deliveries. The inter-pregnancy interval was increased and the success rate was reduced. In subsequent pregnancies, a higher rate of PPH was observed in those that underwent UAE.





2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Vivian Fernanda do Amaral ◽  
Fernanda Yumi Yochiy ◽  
Mário Luiz Furlanetto ◽  
Spencer Luiz Marques Payão

Introduction. Uterine leiomyomas are the most common benign pelvic tumors in women over 35 years and can be symptomatic or asymptomatic. Among the main treatment strategies, there are hormone therapy, hysterectomy, myomectomy, and uterine artery embolization (UAE), a recent and promising treatment for patients who wish to avoid hysterectomy. Ideal candidates for UAE are women with symptomatic uterine leiomyomas that present no desire for pregnancy, premenopausal and heavy menstrual bleeding, or dysmenorrhea caused by intramural fibroids. Case Presentation. A 36-year-old female diagnosed with leiomyomas and an extensive history of failed previous treatments who, in order to preserve her uterus, underwent UAE and had tumor expulsion 15 days after the procedure. The patient remained eight months in amenorrhea and, currently, presents normal hormone levels and irregular periods. Conclusion. UAE presents itself as a minimally invasive procedure and as an efficient alternative for those patients who wish to preserve their uteri and also improve their symptoms and quality of life.



2020 ◽  
Vol 222 (2) ◽  
pp. 187
Author(s):  
Toma Mizoguchi ◽  
Ryuichi Shimaoka ◽  
Ken-ichirou Morishige


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