Short & long term adverse outcomes after arterial embolisation for the treatment of postpartum haemorrhage: a systematic review.

Details

Serval ID
serval:BIB_EB7FC50FB912
Type
Article: article from journal or magazin.
Collection
Publications
Title
Short & long term adverse outcomes after arterial embolisation for the treatment of postpartum haemorrhage: a systematic review.
Journal
European radiology
Author(s)
Soro M.P., Denys A., de Rham M., Baud D.
ISSN
1432-1084 (Electronic)
ISSN-L
0938-7994
Publication state
Published
Issued date
02/2017
Volume
27
Number
2
Pages
749-762
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Arterial embolisation (AE) plays a major role in current practice in the management of postpartum haemorrhage (PPH) that fails to respond to conservative treatment. While its benefit is well known, long-term outcomes of AE have been poorly investigated. The objective of this review is to assess its potential complications and long-term effects on the patients' quality of life.
Using the terms "embolisation" and "postpartum haemorrhage", we searched the Cochrane Central Register of Controlled Trials, Medline and PubMed for published studies. We limited the search to articles in English and French reporting "complications", "fertility", "menstruation" or "menstrual cycle" in humans. To ensure completeness, the references of extracted articles and review articles were also searched.
The fertility rate in patients attempting another pregnancy reaches 70-80 %. Pregnancies following AE for PPH are not associated with a higher rate of intrauterine growth restriction. Pathological placentation (placenta accreta/increta/percreta) occurs more frequently after AE than in the general population. Psychological wellbeing, post-traumatic stress and sexual dysfunction after a life-threatening PPH requiring AE will require further investigation.
AE does not appear to adversely affect menstrual cycle, fertility and subsequent pregnancies, but may affect placentation. The experience of a life-threatening PPH, however, might prevent couples from pursuing another pregnancy.
• Embolisation for PPH does not adversely affect menstrual cycle and fertility • Experience of life-threatening PPH might prevent couples from pursuing another pregnancy • Pathological placentation seems to occur more frequently after embolisation for PPH.

Keywords
Embolization, Therapeutic/adverse effects, Endometritis/epidemiology, Endometritis/etiology, Female, Humans, Necrosis/epidemiology, Necrosis/etiology, Placenta Accreta/epidemiology, Postoperative Complications/epidemiology, Postoperative Complications/etiology, Postpartum Hemorrhage/therapy, Pregnancy, Quality of Life, Uterine Diseases/epidemiology, Uterine Diseases/etiology, Uterus/pathology, Vascular System Injuries/epidemiology, Vascular System Injuries/etiology, Venous Thrombosis/epidemiology
Pubmed
Web of science
Create date
20/01/2017 16:19
Last modification date
20/08/2019 17:13
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