We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Complications and reproductive outcome after uterine artery embolization for retained products of conception.
- Authors
Ohmaru‐Nakanishi, Takako; Kuramoto, Kazutaka; Maehara, Miyako; Takeuchi, Reiko; Oishi, Hiroko; Ueoka, Yosuke
- Abstract
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.
- Subjects
HEMORRHAGE; LABOR complications (Obstetrics); PLACENTA diseases; PREGNANCY complications; PUERPERAL disorders; THERAPEUTIC embolization; RETROSPECTIVE studies; UTERINE artery; DESCRIPTIVE statistics
- Publication
Journal of Obstetrics & Gynaecology Research, 2019, Vol 45, Issue 10, p2007
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/jog.14067