Effect of bilateral uterine artery ligation in cases of postpartum hemorrhage on ovarian reserve

Mohamed A. Abo Zaid; Ahmed M. Hagras; Mohamed M. Hefeda; Medhat S. Hwidy

doi:10.18203/2320-1770.ijrcog20230118

Authors

Mohamed A. Abo Zaid Department of Obstetrics and Gynaecology, Faculty of Medicine-Tanta University, Tanta, Egypt
Ahmed M. Hagras Department of Obstetrics and Gynaecology, Faculty of Medicine-Tanta University, Tanta, Egypt
Mohamed M. Hefeda Department of Obstetrics and Gynaecology, Faculty of Medicine-Tanta University, Tanta, Egypt
Medhat S. Hwidy Department of Obstetrics and Gynaecology, Faculty of Medicine-Tanta University, Tanta, Egypt

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20230118

Keywords:

Hemorrhage, Postpartum, Ovarian blood flow, Ovarian reserve, Uterine artery ligation

Abstract

Background: Bilateral uterine artery ligation (BUAL) is a fertility-preserving procedure used in women experiencing postpartum hemorrhage (PPH). However, the long-term effects of this procedure on ovarian reserve remain unclear. Aim to investigate the effect of BUAL in cases of PPH on ovarian reserve,

Methods: This study was carried out at department of obstetrics and gynecology Tanta university on 40 patients divided into 2 groups: (The study group); included 20 patients underwent cesarean section with successful BUAL for intractable atonic PPH, (The control group); included 20 patients underwent cesarean section without BUAL; during a period between April 2020 and December 2021,

Results: There is no-significant difference between study and control group according to AMH (ng/ml), resistivity index (RI) and pulsatility index (PI) of right and left uterine artery and ovarian artery after 6 months of bilateral UAL,

Conclusions: Bilateral UAL had no negative effects on ovarian reserve or ovarian blood supply, so this treatment should be used as a fertility preservation technique to avoid hysterectomy in patients experiencing PPH.

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