Gynecological, reproductive and sexual outcomes after uterine artery embolization for post-partum haemorrage.

Details

Ressource 1Download: Eggel_2021_Scientific_Reports.pdf (1099.12 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_4E4224B23867
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Gynecological, reproductive and sexual outcomes after uterine artery embolization for post-partum haemorrage.
Journal
Scientific reports
Author(s)
Eggel B., Bernasconi M., Quibel T., Horsch A., Vial Y., Denys A., Baud D.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
12/01/2021
Peer-reviewed
Oui
Volume
11
Number
1
Pages
833
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
In this case control study, long-term gynecological, reproductive and sexual outcomes after uterine artery embolization (UAE) for postpartum hemorrhage (PPH) were evaluated. The study was performed in a single referral hospital for PPH in Lausanne from 2003 to 2013. Each woman whose delivery was complicated by PPH and treated by UAE was included, and compared to a control group of women whose delivery was uncomplicated. Cases were matched by maternal age, parity, ethnicity, year and mode of delivery, birth weight and gestational age in a 1-3 ratio. A total of 77 patients treated by UAE for PPH were identified in our obstetrical database. Among them, 63 were included and compared to 189 matched patients (no PPH). The mean interval time between UAE and this study was 8.1 years. Time to menstrual cycle recovery after delivery (3.9 vs 5.6 months, p = 0.66), spotting (7.9% vs 7.2%, p = 0.49), dysmenorrhea (25.4% vs 22.2%, p = 0.60) and amenorrhea (14.3% vs 12.2%, p = 0.66) were similar between the two groups. There was no difference in the FSFI score between the groups (23.2 ± 0.6 vs 23.8 ± 0.4; p = 0.41). However, the interval time to subsequent pregnancy was longer for patients after UAE than the control group (35 vs 18 months, p = 0.002). In case of pregnancy desire, the success rate was lower after UAE compared to controls (55% vs 93.5%, p < 0.001). The rate of PPH was higher in those with previous PPH (6.6% vs 36.4%, p = 0.010). Patients treated by UAE for PPH did not report higher rates of gynecological symptoms or sexual dysfunction compared to patients with uneventful deliveries. The inter-pregnancy interval was increased and the success rate was reduced. In subsequent pregnancies, a higher rate of PPH was observed in those that underwent UAE.
Keywords
Multidisciplinary
Pubmed
Web of science
Open Access
Yes
Create date
13/01/2021 11:42
Last modification date
20/03/2021 7:22
Usage data