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Pregnancy outcomes after uterine artery embolisation for fibroids
Author(s) -
Homer Hayden,
Saridogan Ertan
Publication year - 2009
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.11.4.265.27530
Subject(s) - medicine , pregnancy , uterine artery embolization , obstetrics , obstetrics and gynaecology , uterine fibroids , uterine artery , gynecology , embolization , surgery , gestation , biology , genetics
• Data on pregnancy following uterine artery embolisation (UAE) are scarce, with just over 200 pregnancies reported to date. • The weight of retrospective data and two small prospective trials of UAE versus surgical intervention suggest increased levels of adverse pregnancy outcomes following fibroid embolisation. • In the absence of more robust evidence, caution should be exercised in recommending UAE to women who retain reproductive ambitions.Learning objectives:• To increase awareness of the potential reproductive risks of UAE. • To appreciate the limitations of the existing evidence.Ethical issues:• Caution should be exercised before advocating UAE for intractable fibroid‐related symptoms in women desirous of future pregnancy.Please cite this article as: Homer H, Saridogan E. Pregnancy outcomes after uterine artery embolisation for fibroids. The Obstetrician & Gynaecologist 2009;11:265–270.