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Recurrence of post‐partum hemorrhage in women with a history of uterine artery embolization
Author(s) -
Imafuku Hitomi,
Yamada Hideto,
Morizane Mayumi,
Tanimura Kenji
Publication year - 2020
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14129
Subject(s) - medicine , post partum , uterine artery embolization , obstetrics , uterine artery , embolization , gynecology , radiology , pregnancy , gestation , genetics , biology
Aim To evaluate pregnancy outcome and complications in subsequent pregnancies after severe post‐partum hemorrhage (PPH) between women with and without a history of uterine artery embolization (UAE). Methods Women who had a history of severe PPH, and delivered newborns at ≥22 gestational weeks in subsequent pregnancies were enrolled. Severe PPH was defined as blood loss volume of more than 2000 mL. Results The blood loss volume (median 1581 mL) in women with UAE ( n = 14) was significantly more than that in women without UAE (median 1021 mL, n = 32, P < 0.01), and the recurrence rate of severe PPH in women with UAE ( n = 5, 35.7%) was significantly higher than that in women without UAE ( n = 3, 9.4%, P < 0.05). There were no significant differences in frequencies of premature delivery, hypertensive disorders of pregnancy, fetal growth restriction, or placenta previa/low lying placenta. Of 14 women with UAE, 7 (50.0%) had abnormally invasive placenta, whereas of 32 women without UAE, none had abnormally invasive placenta. Conclusion Subsequent pregnancies after UAE for severe PPH had high risks for recurrence of severe PPH.