Impact of pelvic arterial embolization for intractable postpartum hemorrhage on fertility
Objective This study was to determine the long-term outcomes of arterial pelvic embolization for intractable postpartum hemorrhage and particularly its effect on menses, fertility, and outcomes of subsequent pregnancies. Study Design Fifty-six consecutive patients who underwent emergency pelvic arte...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2009-04, Vol.200 (4), p.384.e1-384.e4 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Fiori, Olivia, MD Deux, Jean-François, MD Kambale, Jean-Claude, MD Uzan, Serge, MD Bougdhene, Franck, MD, PhD Berkane, Nadia, MD |
| description | Objective This study was to determine the long-term outcomes of arterial pelvic embolization for intractable postpartum hemorrhage and particularly its effect on menses, fertility, and outcomes of subsequent pregnancies. Study Design Fifty-six consecutive patients who underwent emergency pelvic arterial embolization for severe postpartum hemorrhage between April 1995 and July 2005 were included in the study. Patients were contacted to obtain information about menses and fertility after pelvic arterial embolization. Results Thirty-four women (61.8%) were successfully contacted. One patient had a hysterectomy. Thirty women (91%) reported regular menses. Thirteen women (38.3%) had a total of 20 spontaneous pregnancies. Eight pregnancies ended during the first trimester. The 12 other pregnancies (60%) were all normal and all patients delivered vaginally healthy babies with normal weight for gestational age. Conclusion The current study suggests that fertility is not adversely affected by arterial pelvic embolization for intractable postpartum hemorrhage and that women can conceive after the procedure with normal pregnancy outcomes. |
| doi_str_mv | 10.1016/j.ajog.2008.11.029 |
| format | Article |
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Study Design Fifty-six consecutive patients who underwent emergency pelvic arterial embolization for severe postpartum hemorrhage between April 1995 and July 2005 were included in the study. Patients were contacted to obtain information about menses and fertility after pelvic arterial embolization. Results Thirty-four women (61.8%) were successfully contacted. One patient had a hysterectomy. Thirty women (91%) reported regular menses. Thirteen women (38.3%) had a total of 20 spontaneous pregnancies. Eight pregnancies ended during the first trimester. The 12 other pregnancies (60%) were all normal and all patients delivered vaginally healthy babies with normal weight for gestational age. Conclusion The current study suggests that fertility is not adversely affected by arterial pelvic embolization for intractable postpartum hemorrhage and that women can conceive after the procedure with normal pregnancy outcomes.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2008.11.029</identifier><identifier>PMID: 19217597</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Biological and medical sciences ; embolization ; Embolization, Therapeutic ; Female ; Fertility ; Gynecology. Andrology. Obstetrics ; hemorrhage ; Humans ; Medical sciences ; Obstetrics and Gynecology ; postpartum ; Postpartum Hemorrhage - therapy ; pregnancy ; Severity of Illness Index ; Young Adult</subject><ispartof>American journal of obstetrics and gynecology, 2009-04, Vol.200 (4), p.384.e1-384.e4</ispartof><rights>Mosby, Inc.</rights><rights>2009 Mosby, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-f37cdc990a098d581dc91bc168bae092d310093887f6cc65c70b4bcc3d8cb4eb3</citedby><cites>FETCH-LOGICAL-c439t-f37cdc990a098d581dc91bc168bae092d310093887f6cc65c70b4bcc3d8cb4eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2008.11.029$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21308460$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19217597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fiori, Olivia, MD</creatorcontrib><creatorcontrib>Deux, Jean-François, MD</creatorcontrib><creatorcontrib>Kambale, Jean-Claude, MD</creatorcontrib><creatorcontrib>Uzan, Serge, MD</creatorcontrib><creatorcontrib>Bougdhene, Franck, MD, PhD</creatorcontrib><creatorcontrib>Berkane, Nadia, MD</creatorcontrib><title>Impact of pelvic arterial embolization for intractable postpartum hemorrhage on fertility</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective This study was to determine the long-term outcomes of arterial pelvic embolization for intractable postpartum hemorrhage and particularly its effect on menses, fertility, and outcomes of subsequent pregnancies. Study Design Fifty-six consecutive patients who underwent emergency pelvic arterial embolization for severe postpartum hemorrhage between April 1995 and July 2005 were included in the study. Patients were contacted to obtain information about menses and fertility after pelvic arterial embolization. Results Thirty-four women (61.8%) were successfully contacted. One patient had a hysterectomy. Thirty women (91%) reported regular menses. Thirteen women (38.3%) had a total of 20 spontaneous pregnancies. Eight pregnancies ended during the first trimester. The 12 other pregnancies (60%) were all normal and all patients delivered vaginally healthy babies with normal weight for gestational age. Conclusion The current study suggests that fertility is not adversely affected by arterial pelvic embolization for intractable postpartum hemorrhage and that women can conceive after the procedure with normal pregnancy outcomes.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>embolization</subject><subject>Embolization, Therapeutic</subject><subject>Female</subject><subject>Fertility</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>hemorrhage</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Obstetrics and Gynecology</subject><subject>postpartum</subject><subject>Postpartum Hemorrhage - therapy</subject><subject>pregnancy</subject><subject>Severity of Illness Index</subject><subject>Young Adult</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2L1jAQh4Mo7uvqP-BBetFb66SfCYggix8LCx7Ug6eQTqe7qWlTk3Th9a835X1R8OBpGHh-M8MzjD3nUHDg7eup0JO7LUoAUXBeQCkfsAMH2eWtaMVDdgCAMpdVJy7YkxCmvS1l-ZhdcFnyrpHdgX2_nleNMXNjtpK9N5hpH8kbbTOae2fNLx2NW7LR-cws0SdW95ay1YW4JnSbszuanfd3-payHSQfjTXx-JQ9GrUN9OxcL9m3D--_Xn3Kbz5_vL56d5NjXcmYj1WHA0oJGqQYGsFTw3vkreg1gSyHigPISohubBHbBjvo6x6xGgT2NfXVJXt1mrt693OjENVsApK1eiG3BdV20IhGQALLE4jeheBpVKs3s_ZHxUHtQtWkdqFqF6o4V0loCr04T9_6mYa_kbPBBLw8AzqgtqPXC5rwhyt5BaJu9-1vThwlF_eGvApoaEEajCeManDm_3e8_SeO1iwmbfxBRwqT2_ySLCuuQqlAfdl_vX8eRPp5ne78DVRiqrI</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Fiori, Olivia, MD</creator><creator>Deux, Jean-François, MD</creator><creator>Kambale, Jean-Claude, MD</creator><creator>Uzan, Serge, MD</creator><creator>Bougdhene, Franck, MD, PhD</creator><creator>Berkane, Nadia, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><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>20090401</creationdate><title>Impact of pelvic arterial embolization for intractable postpartum hemorrhage on fertility</title><author>Fiori, Olivia, MD ; Deux, Jean-François, MD ; Kambale, Jean-Claude, MD ; Uzan, Serge, MD ; Bougdhene, Franck, MD, PhD ; Berkane, Nadia, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-f37cdc990a098d581dc91bc168bae092d310093887f6cc65c70b4bcc3d8cb4eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>embolization</topic><topic>Embolization, Therapeutic</topic><topic>Female</topic><topic>Fertility</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>hemorrhage</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Obstetrics and Gynecology</topic><topic>postpartum</topic><topic>Postpartum Hemorrhage - therapy</topic><topic>pregnancy</topic><topic>Severity of Illness Index</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fiori, Olivia, MD</creatorcontrib><creatorcontrib>Deux, Jean-François, MD</creatorcontrib><creatorcontrib>Kambale, Jean-Claude, MD</creatorcontrib><creatorcontrib>Uzan, Serge, MD</creatorcontrib><creatorcontrib>Bougdhene, Franck, MD, PhD</creatorcontrib><creatorcontrib>Berkane, Nadia, MD</creatorcontrib><collection>Pascal-Francis</collection><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>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fiori, Olivia, MD</au><au>Deux, Jean-François, MD</au><au>Kambale, Jean-Claude, MD</au><au>Uzan, Serge, MD</au><au>Bougdhene, Franck, MD, PhD</au><au>Berkane, Nadia, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of pelvic arterial embolization for intractable postpartum hemorrhage on fertility</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>200</volume><issue>4</issue><spage>384.e1</spage><epage>384.e4</epage><pages>384.e1-384.e4</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective This study was to determine the long-term outcomes of arterial pelvic embolization for intractable postpartum hemorrhage and particularly its effect on menses, fertility, and outcomes of subsequent pregnancies. Study Design Fifty-six consecutive patients who underwent emergency pelvic arterial embolization for severe postpartum hemorrhage between April 1995 and July 2005 were included in the study. Patients were contacted to obtain information about menses and fertility after pelvic arterial embolization. Results Thirty-four women (61.8%) were successfully contacted. One patient had a hysterectomy. Thirty women (91%) reported regular menses. Thirteen women (38.3%) had a total of 20 spontaneous pregnancies. Eight pregnancies ended during the first trimester. The 12 other pregnancies (60%) were all normal and all patients delivered vaginally healthy babies with normal weight for gestational age. Conclusion The current study suggests that fertility is not adversely affected by arterial pelvic embolization for intractable postpartum hemorrhage and that women can conceive after the procedure with normal pregnancy outcomes.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>19217597</pmid><doi>10.1016/j.ajog.2008.11.029</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Biological and medical sciences embolization Embolization, Therapeutic Female Fertility Gynecology. Andrology. Obstetrics hemorrhage Humans Medical sciences Obstetrics and Gynecology postpartum Postpartum Hemorrhage - therapy pregnancy Severity of Illness Index Young Adult |
| title | Impact of pelvic arterial embolization for intractable postpartum hemorrhage on fertility |
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