Effect of pelvic artery embolization for postpartum hemorrhage on subsequent pregnancies: a single-center retrospective cohort study
Pelvic artery embolization (PAE) is a uterus-saving treatment for postpartum hemorrhage (PPH); however, subfertility or abnormal placentation for subsequent pregnancy has been a concern in several previous reports. This study aimed to investigate the impact of PAE on subsequent pregnancies in women...
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| Veröffentlicht in: | The journal of maternal-fetal & neonatal medicine 2024-12, Vol.37 (1), p.2296360-2296360 |
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| container_title | The journal of maternal-fetal & neonatal medicine |
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| creator | Lee, Kyong-No Kim, Min Kyung Choi, Bo Young Lee, Guy Mok Kim, Hyeon Ji Park, Jee Yoon |
| description | Pelvic artery embolization (PAE) is a uterus-saving treatment for postpartum hemorrhage (PPH); however, subfertility or abnormal placentation for subsequent pregnancy has been a concern in several previous reports. This study aimed to investigate the impact of PAE on subsequent pregnancies in women with a history of PPH.
A retrospective cohort study was conducted on women transferred to the tertiary center for PPH and delivered for the next pregnancy at the same center later. The study group was divided into two groups based on PAE application to treat previous PPH.
Of the 62 women included, 66% (41/62) had received PAE for the previous PPH, while 21 had not. Pregnancy outcomes for subsequent pregnancies were compared between the PAE and non-PAE groups. The PAE group had a higher estimated blood loss volume for the present delivery than the non-PAE group (600 vs. 300 mL,
= 0.008). The PAE group also demonstrated a higher incidence of placenta previa (4.8% vs. 24.4%,
= 0.080) and placenta accreta (0% vs. 14.6%,
= 0.082) than the non-PAE group, although the difference was not statistically significant.
These findings suggest that the use of PAE to treat PPH may increase the risk of bleeding, placenta previa, and placenta accreta spectrum in subsequent pregnancies. |
| doi_str_mv | 10.1080/14767058.2023.2296360 |
| format | Article |
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A retrospective cohort study was conducted on women transferred to the tertiary center for PPH and delivered for the next pregnancy at the same center later. The study group was divided into two groups based on PAE application to treat previous PPH.
Of the 62 women included, 66% (41/62) had received PAE for the previous PPH, while 21 had not. Pregnancy outcomes for subsequent pregnancies were compared between the PAE and non-PAE groups. The PAE group had a higher estimated blood loss volume for the present delivery than the non-PAE group (600 vs. 300 mL,
= 0.008). The PAE group also demonstrated a higher incidence of placenta previa (4.8% vs. 24.4%,
= 0.080) and placenta accreta (0% vs. 14.6%,
= 0.082) than the non-PAE group, although the difference was not statistically significant.
These findings suggest that the use of PAE to treat PPH may increase the risk of bleeding, placenta previa, and placenta accreta spectrum in subsequent pregnancies.</description><identifier>ISSN: 1476-7058</identifier><identifier>EISSN: 1476-4954</identifier><identifier>DOI: 10.1080/14767058.2023.2296360</identifier><identifier>PMID: 38146176</identifier><language>eng</language><publisher>England</publisher><subject>Arteries ; Female ; Humans ; Pelvis ; Placenta Accreta - epidemiology ; Placenta Accreta - therapy ; Placenta Previa ; Postpartum Hemorrhage - epidemiology ; Postpartum Hemorrhage - therapy ; Pregnancy ; Retrospective Studies</subject><ispartof>The journal of maternal-fetal & neonatal medicine, 2024-12, Vol.37 (1), p.2296360-2296360</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c304t-733ad6818ad16370f178962475f3902de04a8a40db173b825b4eb609fa6ba1a03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38146176$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Kyong-No</creatorcontrib><creatorcontrib>Kim, Min Kyung</creatorcontrib><creatorcontrib>Choi, Bo Young</creatorcontrib><creatorcontrib>Lee, Guy Mok</creatorcontrib><creatorcontrib>Kim, Hyeon Ji</creatorcontrib><creatorcontrib>Park, Jee Yoon</creatorcontrib><title>Effect of pelvic artery embolization for postpartum hemorrhage on subsequent pregnancies: a single-center retrospective cohort study</title><title>The journal of maternal-fetal & neonatal medicine</title><addtitle>J Matern Fetal Neonatal Med</addtitle><description>Pelvic artery embolization (PAE) is a uterus-saving treatment for postpartum hemorrhage (PPH); however, subfertility or abnormal placentation for subsequent pregnancy has been a concern in several previous reports. This study aimed to investigate the impact of PAE on subsequent pregnancies in women with a history of PPH.
A retrospective cohort study was conducted on women transferred to the tertiary center for PPH and delivered for the next pregnancy at the same center later. The study group was divided into two groups based on PAE application to treat previous PPH.
Of the 62 women included, 66% (41/62) had received PAE for the previous PPH, while 21 had not. Pregnancy outcomes for subsequent pregnancies were compared between the PAE and non-PAE groups. The PAE group had a higher estimated blood loss volume for the present delivery than the non-PAE group (600 vs. 300 mL,
= 0.008). The PAE group also demonstrated a higher incidence of placenta previa (4.8% vs. 24.4%,
= 0.080) and placenta accreta (0% vs. 14.6%,
= 0.082) than the non-PAE group, although the difference was not statistically significant.
These findings suggest that the use of PAE to treat PPH may increase the risk of bleeding, placenta previa, and placenta accreta spectrum in subsequent pregnancies.</description><subject>Arteries</subject><subject>Female</subject><subject>Humans</subject><subject>Pelvis</subject><subject>Placenta Accreta - epidemiology</subject><subject>Placenta Accreta - therapy</subject><subject>Placenta Previa</subject><subject>Postpartum Hemorrhage - epidemiology</subject><subject>Postpartum Hemorrhage - therapy</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><issn>1476-7058</issn><issn>1476-4954</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UctOxDAMjBCI9yeAcuTSxXk0TbkhxEtC4gLnKm2d3aK2KUmKtJz5cLJil5Mtz9gz8hBywWDBQMM1k4UqINcLDlwsOC-VULBHjjfzTJa53N_2G9IROQnhA4AzCfkhORKaScUKdUx-7q3FJlJn6YT9V9dQ4yP6NcWhdn33bWLnRmqdp5MLcUrgPNAVDs77lVkiTWCY64CfM46RTh6XoxmbDsMNNTR047LHrEkQeuoxehempNZ9IW3cyvlIQ5zb9Rk5sKYPeL6tp-T94f7t7il7eX18vrt9yRoBMmaFEKZVmmnTMiUKsKzQpeKyyK0ogbcI0mgjoa1ZIWrN81piraC0RtWGGRCn5Orv7uRdMhxiNXShwb43I7o5VLyE9BUttUzU_I_aJM_Bo60m3w3GrysG1SaAahdAtQmg2gaQ9i63EnM9YPu_tfu4-AUljIO8</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Lee, Kyong-No</creator><creator>Kim, Min Kyung</creator><creator>Choi, Bo Young</creator><creator>Lee, Guy Mok</creator><creator>Kim, Hyeon Ji</creator><creator>Park, Jee Yoon</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202412</creationdate><title>Effect of pelvic artery embolization for postpartum hemorrhage on subsequent pregnancies: a single-center retrospective cohort study</title><author>Lee, Kyong-No ; Kim, Min Kyung ; Choi, Bo Young ; Lee, Guy Mok ; Kim, Hyeon Ji ; Park, Jee Yoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c304t-733ad6818ad16370f178962475f3902de04a8a40db173b825b4eb609fa6ba1a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Arteries</topic><topic>Female</topic><topic>Humans</topic><topic>Pelvis</topic><topic>Placenta Accreta - epidemiology</topic><topic>Placenta Accreta - therapy</topic><topic>Placenta Previa</topic><topic>Postpartum Hemorrhage - epidemiology</topic><topic>Postpartum Hemorrhage - therapy</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Kyong-No</creatorcontrib><creatorcontrib>Kim, Min Kyung</creatorcontrib><creatorcontrib>Choi, Bo Young</creatorcontrib><creatorcontrib>Lee, Guy Mok</creatorcontrib><creatorcontrib>Kim, Hyeon Ji</creatorcontrib><creatorcontrib>Park, Jee Yoon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Kyong-No</au><au>Kim, Min Kyung</au><au>Choi, Bo Young</au><au>Lee, Guy Mok</au><au>Kim, Hyeon Ji</au><au>Park, Jee Yoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of pelvic artery embolization for postpartum hemorrhage on subsequent pregnancies: a single-center retrospective cohort study</atitle><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle><addtitle>J Matern Fetal Neonatal Med</addtitle><date>2024-12</date><risdate>2024</risdate><volume>37</volume><issue>1</issue><spage>2296360</spage><epage>2296360</epage><pages>2296360-2296360</pages><issn>1476-7058</issn><eissn>1476-4954</eissn><abstract>Pelvic artery embolization (PAE) is a uterus-saving treatment for postpartum hemorrhage (PPH); however, subfertility or abnormal placentation for subsequent pregnancy has been a concern in several previous reports. This study aimed to investigate the impact of PAE on subsequent pregnancies in women with a history of PPH.
A retrospective cohort study was conducted on women transferred to the tertiary center for PPH and delivered for the next pregnancy at the same center later. The study group was divided into two groups based on PAE application to treat previous PPH.
Of the 62 women included, 66% (41/62) had received PAE for the previous PPH, while 21 had not. Pregnancy outcomes for subsequent pregnancies were compared between the PAE and non-PAE groups. The PAE group had a higher estimated blood loss volume for the present delivery than the non-PAE group (600 vs. 300 mL,
= 0.008). The PAE group also demonstrated a higher incidence of placenta previa (4.8% vs. 24.4%,
= 0.080) and placenta accreta (0% vs. 14.6%,
= 0.082) than the non-PAE group, although the difference was not statistically significant.
These findings suggest that the use of PAE to treat PPH may increase the risk of bleeding, placenta previa, and placenta accreta spectrum in subsequent pregnancies.</abstract><cop>England</cop><pmid>38146176</pmid><doi>10.1080/14767058.2023.2296360</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1476-7058 |
| ispartof | The journal of maternal-fetal & neonatal medicine, 2024-12, Vol.37 (1), p.2296360-2296360 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection; Taylor & Francis (Open access) |
| subjects | Arteries Female Humans Pelvis Placenta Accreta - epidemiology Placenta Accreta - therapy Placenta Previa Postpartum Hemorrhage - epidemiology Postpartum Hemorrhage - therapy Pregnancy Retrospective Studies |
| title | Effect of pelvic artery embolization for postpartum hemorrhage on subsequent pregnancies: a single-center retrospective cohort study |
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