Document Detail


Pregnancy after uterine artery embolization for leiomyomata: a series of 56 completed pregnancies.
MedLine Citation:
PMID:  16796984     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was undertaken to evaluate the incidence and outcome of pregnancies after uterine artery embolization (UAE) for symptomatic uterine fibroids. STUDY DESIGN: A retrospective analysis of all pregnancies after UAE by a single interventional radiologist. RESULTS: Fifty-six completed pregnancies were identified in approximately 1200 women after UAE. One hundred eight patients were attempting to become pregnant and 33 of these became pregnant. Thirty-three (58.9%) of the 56 pregnancies had successful outcomes. Six (18.2%) of these were premature. Seventeen (30.4%) pregnancies miscarried. There were 3 terminations, 2 stillbirths, and 1 ectopic pregnancy. Of the 33 deliveries, 24 (72.7%) were delivered by cesarean section. There were 13 elective sections and the indication for 9 was fibroids. There were 6 cases of postpartum hemorrhage (18.2%). CONCLUSION: Compared with the general obstetric population, there is a significant increase in delivery by cesarean section and an increase in preterm delivery, postpartum hemorrhage, miscarriage, and lower pregnancy rates. When taking into account the demographics of the study population, these results can be partly explained. There were no other obstetric risk identified.
Authors:
Woodruff J Walker; Simon J McDowell
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Publication Detail:
Type:  Journal Article     Date:  2006-06-21
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  195     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-31     Completed Date:  2006-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1266-71     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, The Royal Surrey County Hospital, Guildford, UK. wj.walker@virgin.net
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / epidemiology
Adult
Arteries
Cesarean Section / statistics & numerical data
Embolization, Therapeutic*
Female
Humans
Incidence
Leiomyomatosis / therapy*
Pregnancy*
Pregnancy Outcome*
Pregnancy Rate
Premature Birth / epidemiology
Puerperal Disorders / epidemiology
Retrospective Studies
Uterine Hemorrhage / epidemiology
Uterine Neoplasms / therapy*
Uterus / blood supply*

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


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