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Université Jean Monnet – Saint-Etienne |  |
Journal articles
Serious primary post-partum hemorrhage, arterial embolization and future fertility: a retrospective study of 46 cases.
Abstract : BACKGROUND: The guidelines advise arterial embolization in case of post-partum hemorrhage. We evaluated its feasibility and the subsequent fertility. METHODS: A retrospective study has been conducted in our center for the past 10 years (1996-2005). Fifty-two patients experiencing a primary post-partum hemorrhage who were resistant to medical treatment underwent uterine artery embolization and/or hysterectomy. In case of arterial embolization, a follow-up of all the patients was realized, focusing on the preservation of fertility. RESULTS: Six (11.5%) patients underwent hysterectomy straightaway and 46 (88.5%) arterial embolization in the first instance including 35 arterial embolizations after Cesarean section. Embolization was successful among 41 patients (89.1%) and hysterectomy was performed on the 5 (10.9%) others. Overall, 11/24 398 women suffered from a definitive loss of fertility after post-partum hemorrhage. Fertility was studied at least 1 year after the delivery. All patients had a return of normal menses. Sixteen of 41 women (39%) wanted another child and 100% succeeded. Nineteen pregnancies, including two twin pregnancy and one early spontaneous abortion were observed. CONCLUSIONS: Embolization is a safe and effective non-surgical method to resolve post-partum hemorrhage and should be regarded as gold standard in a hemodynamically stable patient. Furthermore, subsequent fertility is not impaired by the procedure.
https://hal-ujm.archives-ouvertes.fr/ujm-00440351
Contributor : Patrick Mismetti Connect in order to contact the contributor
Submitted on : Thursday, December 10, 2009 - 2:29:16 PM
Last modification on : Wednesday, November 20, 2019 - 3:25:32 AM
Contributor : Patrick Mismetti Connect in order to contact the contributor
Submitted on : Thursday, December 10, 2009 - 2:29:16 PM
Last modification on : Wednesday, November 20, 2019 - 3:25:32 AM
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