Document Detail


Impact of the new French clinical practice recommendations in embolization in postpartum and post-abortion hemorrhage: study of 48 cases.
MedLine Citation:
PMID:  18052838     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To evaluate the use of arterial embolization in postpartum hemorrhage (PPH) by comparing the indications, efficacy, times to diagnosis, treatment, and embolization, and conditions of management of patients before and after publication of the Collège National des Gynécologues et Obstétriciens Français clinical practice recommendations (CPR). METHODS: Forty-eight patients who underwent embolization between January 2000 and December 2005 were included in a retrospective, descriptive, and comparative study. We compared the management before (n=21) and after (n=27) publication of the CPR. The main outcome measures were time to diagnosis of PPH, time to treatment initiation, time to decision to implement embolization, time to embolization, hemodynamic characteristics. RESULTS: The number of embolizations has quadrupled since publication of the CPR, and the time taken to decide on embolization has been reduced by 30%. The success rate was 96%, there were no second embolization procedures, and one complication was recorded (hematoma of pubic symphysis). Hemodynamic status was better in patients treated after the CPR (P=0.003). CONCLUSION: Embolization is an effective and safe technique, with a low complication rate. In our healthcare network, the decision to use embolization was faster since the CPR, embolizations have quadrupled, and patients' hemodynamic status has improved.
Authors:
Marie-Lise Mathe; Estelle Morau; Hélène Vernhet-Kovacsik; Marie-Christine Picot; Pierre Boulot
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  35     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2007  
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  532-7     Citation Subset:  IM    
Affiliation:
Service de Gynécologie Obstétrique C et Médecine Maternofoetale, CHU Arnaud de Villeneuve, Montpellier Cedex 5, France. p-boulot@chu-montpellier.fr
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / adverse effects*
Adult
Decision Making
Embolization, Therapeutic*
Female
France
Guideline Adherence
Humans
Postpartum Hemorrhage / etiology,  therapy*
Practice Guidelines as Topic
Pregnancy
Professional Practice / statistics & numerical data*
Retrospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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