Uterine embolization in the operating theater in severe post-partum haemorrhage

Uterine embolization is indicated in severe post-partum hemorrhage. Bearing in mind the potential transfer risks, it is usually done in an angiography room when the patient's circulatory condition is stable. If no angiography room is available, an alternative care strategy could consist of performing embolizations in operating theater with suitable equipment. Over a 3-year period, in our center, 10 uterine embolizations have been done in operating theater. This approach proved feasible in satisfactory conditions. Embolization was efficient for eight patients. For the remaining two patients, an hysterectomy was performed immediately without any transfer constraint.