Foetal growth restriction in the next pregnancy after uterine artery embolisation for post-partum haemorrhage

Menses recovery and fertility after artery embolization for PPH: a single-center retrospective observational study

“…McLucas [39] reported 17 pregnancies in 14 women among the 139 patients (10%) who underwent fibroid embolization and desired to conceive; still, AE for fibroids and PPH cannot be directly compared. In the literature, pathological umbilical Doppler, interruption of fetal growth, and preterm delivery and complicated in utero death after AE are described [19,41,42,44]. None of these complications occurred in our study.…”

Interventional radiology for critical hemorrhage in obstetrics: Japanese Society of Interventional Radiology (JSIR) procedural guidelines

“…Major complications a. Requirement of minor therapy, minor hospitalization (<48 h) [15,27,28]. Pelvic infection, uterine ischemia, lumbar nerve ischemia caused by nontargeted embolization such as necrosis of pelvic organs (e.g., bladder, intestine, or vagina), and distal arterial embolism.…”

Fertility after bilateral uterine artery embolization in a sheep model

“…Cases of intrauterine growth retardation have indeed been reported after hypogastric artery ligation (19,74) or UAE (18,20). In his retrospective analysis of 50 published cases of pregnancy after UAE, Goldberg et al (7) found that women who become pregnant after UAE are at risk for conceiving newborns with smallness for gestational age (7%).…”

“…Only Pron et al and the Ontario Uterine Fibroid Embolization collaborative group (9) recently analyzed all pregnancies and deliveries occurring in a large cohort of women who wished to conceive before embolization. Those investigators indeed found that complete pregnancies can occur after UAE.However, reduction of gestation duration, the occurrence of smallness for gestational age, and a high rate of spontaneous abortion have been reported in women trying to conceive after UAE (8,9,15,19,20). Clinical complications that can theoretically alter the fertility of women wishing to conceive also have been well documented.…”

“…However, reduction of gestation duration, the occurrence of smallness for gestational age, and a high rate of spontaneous abortion have been reported in women trying to conceive after UAE (8,9,15,19,20). Clinical complications that can theoretically alter the fertility of women wishing to conceive also have been well documented.…”