scholarly journals Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Zoltan Kozinszky ◽  
Sverre Sand ◽  
Nils-Einar Kløw ◽  
Kirsten Hald
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Stable Condition ◽  
Reproductive Function ◽  
Subsequent Pregnancy ◽  
Premature Delivery ◽  
Artery Embolization ◽  
Iatrogenic Trauma ◽  
Secondary Postpartum Hemorrhage

Introduction. Rupture of a branch of uterine artery during delivery often leads to a massive postpartum hemorrhage that can be successfully treated using uterine artery embolization.Case Report. A 33-year-old woman had a cesarean section at term followed by a secondary postpartum hemorrhage due to a ruptured cervicovaginal branch terminating in a large, partially thrombosed hematoma of the cervix. She was given selective uterine artery embolization, and she was discharged to home in stable condition on the third day after embolization. In the forthcoming pregnancy a shortened cervix was a risk of threatened premature delivery from 26 weeks of gestation onwards.Conclusion. Superselective unilateral embolization of a thrombosed hematoma in the cervix might prevent extensive iatrogenic trauma of the cervix, which allows preservation of reproductive function.

Persistent Secondary Postpartum Hemorrhage after Uterine Artery Embolization

2009 ◽  
Vol 20 (2) ◽  
pp. 279-281 ◽  
Author(s):  
David Matthew Biko ◽  
Joseph F. Spanier ◽  
Michiko Nagamine ◽  
Lisa Dwyer-Joyce ◽  
David S. Ball
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Secondary Postpartum Hemorrhage

scholarly journals Selective Uterine Artery Embolization in Postpartum Hemorrhage; Updates on 5 Years' Single-Center Experience

2020 ◽  
Author(s):  
Nadine Mohamed ◽  
Rana Tarek Khafagy ◽  
Hend Gamal Abd Elgalil ◽  
Mark Michael ◽  
Karim Ahmed Abd El Tawab
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Single Center ◽  
Artery Embolization ◽  
Single Center Experience

scholarly journals Gynecological, reproductive and sexual outcomes after uterine artery embolization for post-partum haemorrage

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Béatrice Eggel ◽  
Maude Bernasconi ◽  
Thibaud Quibel ◽  
Antje Horsch ◽  
Yvan Vial ◽  
...  
Keyword(s):  
Success Rate ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Subsequent Pregnancy ◽  
Control Group ◽  
Artery Embolization ◽  
Interval Time ◽  
Sexual Outcomes

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.

scholarly journals Pregnancy with asymptomatic uterine complete rupture after uterine artery embolization for postpartum hemorrhage

2017 ◽  
Vol 56 (4) ◽  
pp. 538-540 ◽  
Author(s):  
Hiroaki Soyama ◽  
Morikazu Miyamoto ◽  
Hidenori Sasa ◽  
Hiroki Ishibashi ◽  
Masashi Takano ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Complete Rupture
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