DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20180059

Study of uterine artery embolization: a newer modality in secondary PPH

Sweta Agrawal, Ratnamala Thakur, Shikha Sonker

Abstract


Background: Postpartum hemorrhage remains a major cause of both maternal mortality and morbidity worldwide. This study reflects the clinical outcomes including clinical effectiveness, and safety of uterine artery embolization (UAE) for the treatment of obstetrical uterine hemorrhage at a tertiary-care hospital, in terms of secondary PPH.

Methods: The data were collected as a retrospective study from SAMC and PGI obstetric and gynecology department 12 women with secondary pph were included in the study.

Results: With the use of uterine artery embolization 12 women were successfully treated amongst them maximum patients were in 26-35 yrs of age and mean age of women were 32.4yrs and gravidity of patients presenting with pph is 3 or more.

Conclusions: Selective UAE is a safe and effective method to control obstetric hemorrhage. Blood product requirements after UAE were low, and the surgical risks and absolute loss of fertility associated with hysterectomy were avoided.


Keywords


Maternal mortality, PPH, Secondary PPH, UAE

Full Text:

PDF

References


Abouzahr C. Global burden of maternal death and disability. Br. Med Bull. 2003;67(1):1–11.

Alexander J, Thomas P, Sanghera J. Treatments for secondary postpartum haemorrhage. Cochrane Database Syst Rev. 2002;(1):CD002867.

Lill Trine Nyfløt,Irene Sandven,Babill Stray-Pedersen, Silje Pettersen, Iqbal Al-Zirqi, Margit Rosenberg, Anne Flem Jacobsen,and Siri Vangen. Risk factors for severe postpartum hemorrhage: a case-control study. BMC Pregnancy Childbirth. 2017; 17: 17.

P Reddi Rani and Jasmina Begum. Recent Advances in the Management of Major Postpartum Haemorrhage - A Review. J Clin Diagn Res. 2017 Feb; 11(2): QE01–QE05.

Anderson JM, Etches D. Prevention and management of postpartum haemorrhage. Am Fam Physician. 2007;15(75)(6):875–82. Mar

Usman N, Nobelet J, Low D, Thangaratinam S. Intra aortic balloon occlusion without fluoroscopy for severe postpartum haemorrhage secondary to placenta percreta. Int J Obstet Anesth. 2014;23:91–93

Vishalakshi Urundady and Vrinda Shetty. Uterine Artery Embolisation for Management of Refractory Postpartal Haemmorhage. J Clin Diagn Res. 2012 Dec; 6(10): 1753–1755.

Jung HN, Shin SW, Choi SJ, Cho SK, Park KB, Park HS, Kang M, Choo SW, Do YS, Choo IW. Uterine artery embolization for emergent management of postpartum hemorrhage associated with placenta accreta. Acta Radiol. 2011.

Park JK, Shin TB, Baek JC, Shin JK, Choi WJ, Lee SA, Lee JH, Paik WY. Failure of uterine artery embolization for controlling postpartum hemorrhage. J Obstet Gynaecol Res. 2011 Aug;37(8):971-8.

Huann-ChengHorng Wei-MinHub Hsiou-Shan Tsengc Wen-Hsun Changd Kuan-Chong Chaoa Ming-Jie Yanga. Uterine arterial embolization in the management of severe post-partum hemorrhage: A successful rescue method to avoid peripartum hysterectomy.