Complications and reproductive outcome after uterine artery embolization for retained products of conception
Autor: | Hiroko Oishi, Reiko Takeuchi, Kazutaka Kuramoto, Takako Ohmaru-Nakanishi, Miyako Maehara, Yosuke Ueoka |
---|---|
Rok vydání: | 2019 |
Předmět: |
Adult
Severe bleeding medicine.medical_specialty medicine.medical_treatment media_common.quotation_subject Population Fertility Abortion Young Adult 03 medical and health sciences 0302 clinical medicine Uterine artery embolization Pregnancy Placenta medicine Humans education Retrospective Studies media_common education.field_of_study 030219 obstetrics & reproductive medicine medicine.diagnostic_test Obstetrics business.industry Postpartum Hemorrhage Obstetrics and Gynecology Uterine Artery Embolization medicine.anatomical_structure Products of conception Hysteroscopy 030220 oncology & carcinogenesis Female Abortion Missed business |
Zdroj: | Journal of Obstetrics and Gynaecology Research. 45:2007-2014 |
ISSN: | 1447-0756 1341-8076 |
Popis: | Aim The purpose of this study was to evaluate the complications and reproductive outcome after uterine artery embolization (UAE) for retained products of conception (RPOC). Methods This was a retrospective medical-records review study of 57 women treated for RPOC. Participants were divided into two groups: women who underwent treatment with UAE (UAE group: n = 32, 56.1%) and those without UAE (control group: n = 25, 43.9%). The complications and reproductive outcomes were compared between the two groups. Information on subsequent pregnancies and their outcomes was available for 30 women who attempted to conceive. Results There were no significant differences in the interval from the last delivery or abortion (40.1 ± 3.4 vs 51.0 ± 5.1 months, respectively; P = 0.16), the rate of severe bleeding under hysteroscopy (18.5 vs 9.1%, respectively; P = 0.65), the conception rate (58.8 vs 61.5%, respectively; P = 1.0) and mean time to conception (9.9 ± 1.6 vs 11.0 ± 2.9 months, respectively; P = 0.17) in women in the UAE group compared with those in the control group. Rates of post-partum hemorrhage (PPH) and manual removal of placenta (25.0% in the UAE group and 16.7% in the control group, respectively) were higher than the general population. Conclusion Selective UAE for RPOC may be a preferable procedure in women who are suspected as having a risk of severe bleeding under treatment. Women who were treated for RPOC, regardless of UAE, were at risk of PPH and difficulty in removing the placenta in future pregnancies. |
Databáze: | OpenAIRE |
Externí odkaz: |