Pregnancy outcomes and fertility after ligation of uterine artery only and hypogastric artery only in postpartum hemorrhage.

Autor: Tokgöz Çakır B; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Öztürk Ç; Department of Gynecologic Oncology, Ankara University Faculty of Medicine, Ankara, Turkey., Aktemur G; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Karabay G; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Şeyhanlı Z; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Sucu S; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Bucak M; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Bayraktar B; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Ulusoy CO; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Sağlam E; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Çakır C; Department of Gynecologic Oncology, Ankara Etlik City Hospital, Ankara, Turkey., İskender CT; Department of Perinatology, Ankara Etlik City Hospital, Ankara, Turkey., Engin-Üstün Y; University of Health Sciences Turkey, Ankara Etlik Zübeyde Hanım Women`s Health and Research Center Turkey, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Journal of the Turkish German Gynecological Association [J Turk Ger Gynecol Assoc] 2024 Aug 29; Vol. 25 (3), pp. 132-137.
DOI: 10.4274/jtgga.galenos.2024.2023-10-7
Abstrakt: Objective: To determine and compare pregnancy outcomes after bilateral uterine artery ligation (BUAL) or bilateral hypogastric artery ligation (BHAL) for postpartum hemorrhage (PPH).
Material and Methods: This retrospective cross-sectional study was conducted from January 2010 to June 2018 at a tertiary referral hospital. Patients who had undergone arterial ligation for PPH were included in the study. Patients who had undergone BUAL and BHAL were compared with a control group in terms of fertility and pregnancy outcomes.
Results: A total of 156 patients were included, of whom 47 underwent BUAl, 59 underwent BHAL and 50 were in the control group. There was no significant difference between the groups in subsequent pregnancies in terms of the incidence of miscarriage, fetal growth restriction, preeclampsia, primary cesarean deliveries, and infertility (p>0.05). There was a significant difference between all groups in gestational age at birth and birthweight. Preterm birth was observed in 32.2% of patients in the BHAL group, and this rate was significantly higher than in the BUAL (12.8%) and control (6%) groups (p=0.001).
Conclusion: PPH is a life-threatening obstetric problem. The effects of interventions performed to reduce pelvic blood flow in patients may lead to persistent problems, such as preterm birth and low birth weight in the next pregnancy. However, these interventions do not appear to affect the risk of miscarriage. In subsequent pregnancies of patients who received BHAL, special attention should be paid to preterm birth.
Competing Interests: Conflict of Interest: No conflict of interest is declared by the authors.
Databáze: MEDLINE
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