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

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

Sci Rep

Materno-Fetal and Obstetrics Research Unit, Department "Femme-Mère-Enfant"-"Woman-Mother-Child", University of Lausanne and Lausanne University Hospital, 1011, Lausanne, Switzerland.

Published: January 2021

AI Article Synopsis

  • A case-control study assessed long-term gynecological, reproductive, and sexual outcomes in women who underwent uterine artery embolization (UAE) for postpartum hemorrhage (PPH) at a hospital in Lausanne from 2003 to 2013.
  • The study included 63 women treated with UAE and compared them to 189 matched women without PPH, revealing similar recovery times for menstrual cycles and gynecological symptoms between the groups.
  • However, women who had UAE experienced longer intervals before subsequent pregnancies, lower pregnancy success rates, and a higher likelihood of PPH in subsequent pregnancies compared to the control group.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7804269PMC
http://dx.doi.org/10.1038/s41598-020-80821-0DOI Listing

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