AI Article Synopsis
- The study aimed to assess how prophylactic uterine artery embolization (UAE) affects second-trimester abortions in patients with placenta previa.
- This retrospective review included 54 patients and compared outcomes like blood loss and the need for transfusions between those who received UAE and those who did not.
- Results showed that UAE significantly reduced blood loss and transfusion rates in women with complete placenta previa, while it had no effect on outcomes for those with partial placenta previa.
Article Abstract
Objective: To evaluate the effects of prophylactic uterine artery embolization (UAE) on second-trimester induced abortions in patients with placenta previa.
Methods: The present study was a retrospective review of second-trimester induced abortions in the presence of placenta previa that conducted between January 1, 2008, and October 31, 2017, at a university hospital in Hangzhou, China. Pregnancy outcomes including intraoperative blood loss, transfusion, dilatation and evacuation, hysterotomy delivery, and hysterectomy were compared between patients with and without prophylactic UAE.
Results: There were 54 patients included in the study. In patients with partial placenta previa (n=15), the volume of intraoperative blood loss and the frequency of dilatation and evacuation were not significantly different between the UAE and non-UAE groups (P>0.05). No patient had a transfusion, hysterotomy delivery, or hysterectomy. Among patients with complete placenta previa (n=39), the volumes of intraoperative blood loss (P=0.014) and transfusion (P=0.046) were significantly lower in the UAE group compared with the non-UAE group. The rates of dilatation and evacuation, and hysterotomy delivery did not differ between the groups (P>0.05), but were numerically higher in the non-UAE group. No patient was treated with hysterectomy.
Conclusion: Prophylactic UAE before a second-trimester induced abortion had significant advantages in women with complete placenta previa, but it did not improve the pregnancy outcome in patients with partial placenta previa.
Chinese Clinical Trial Registry: ChiCTR-OPC-14005334.
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| http://dx.doi.org/10.1002/ijgo.12638 | DOI Listing |
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