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

Soro, Marie-Aimée Päivi; Denys, Alban; Rham, Maud de; Baud, David

doi:10.1007/s00330-016-4395-2

Cited by 56 publications

(38 citation statements)

References 88 publications

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“…Follow-up studies of women who have undergone arterial embolisation for control of PPH suggest that the intervention does not impair subsequent menstruation and fertility. [108][109][110] Evidence level 3…”

Section: Evidence Level 2++mentioning

confidence: 99%

See 1 more Smart Citation

Placenta Praevia and Placenta Accreta: Diagnosis and Management

Jauniaux¹,

Alfirević²,

Bhide³

et al. 2018

BJOG

424

415

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Section: Evidence Level 2++mentioning

confidence: 99%

“…Other additional risk factors include maternal age 110,113,117,120 and ART, in particular in vitro fertilisation. 113,120,[122][123][124][125] Advanced maternal age (35 years or more) in women without a previous caesarean section increases the aOR by 1.30 (95% CI 1.13-1.50) for every 1-year increase in age.…”

Section: Evidence Level 2+mentioning

confidence: 99%

Placenta Praevia and Placenta Accreta: Diagnosis and Management

Jauniaux¹,

Alfirević²,

Bhide³

et al. 2018

BJOG

424

415

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“…7 Winograd et al and Soro et al presented internal iliac artery catheterization and embolization for pelvic devascularization, yet it still holds the need for trained interventional radiologist, with the use of expensive machinery. 8,9 Estimated blood loss was roughly by weighing of laparotomy pads before and after soiling and amount in suction apparatus. The use of balloon compression, as Bakri Balloon, has also been proposed in cases of placenta accreta.…”

Section: Discussionmentioning

confidence: 99%

Multistep approach for control of postpartum hemorrhage in placenta accreta: a novel scheme in a tertiary referral center

El-Agwany

Abdeldayem

2016

Int J Reprod Contracept Obstet Gynecol

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, 25 women with anterior low-lying placenta and previous caesarian section(s) were recruited at El-Shatby Maternity university hospital in Alexandria, Egypt. This hospital is a tertiary center for 3 governorates in Egypt with population exceeding 10 million and caesarian section rate approaching 40% of all deliveries. This study was approved by the Ethics Committee of the hospital and a written informed consent form was signed by the women and/or their nearest relatives before the operation. Cases had previous 1-4 lower segment caesarian deliveries. Cases were diagnosed as placenta accreta by ultrasonographic examination on admission to hospital. Criteria for ultrasonographic diagnosis were:

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“…If bleeding persists, further measures include insertion of a Balloon-tamponade of the uterus, surgical intervention such as uterine compression sutures (B-Lynch, Hayman technique, or others [52]) or uterine vessel mass ligation. In haemodynamically stable patients, emergent transfer to interventional radiology department and uterine artery embolization may be an effective and often successful intervention [53]. Finally, hysterectomy might become necessary as ultima ratio if other measures were unsuccessful.…”

Section: Management Of the Woman During Deliverymentioning

confidence: 99%

“…Balloon tamponade can also can be used to bridge the time until embolization. Longitudinal trials in patients who underwent arterial embolization to manage PPH showed that this method does not affect the following menstruation cycles or fertility [53]. If artery ligation failed, selective arterial occlusion might be considered [107].…”

Section: Embolizationmentioning

confidence: 99%

Patient blood management (PBM) in pregnancy and childbirth: literature review and expert opinion

Surbek

Vial

Girard

et al. 2019

Arch Gynecol Obstet

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Purpose Patient blood management [PBM] has been acknowledged and successfully introduced in a wide range of medical specialities, where blood transfusions are an important issue, including anaesthesiology, orthopaedic surgery, cardiac surgery, or traumatology. Although pregnancy and obstetrics have been recognized as a major field of potential haemorrhage and necessity of blood transfusions, there is still little awareness among obstetricians regarding the importance of PBM in this area. This review, therefore, summarizes the importance of PBM in obstetrics and the current evidence on this topic. Method We review the current literature and summarize the current evidence of PBM in pregnant women and postpartum with a focus on postpartum haemorrhage (PPH) using PubMed as literature source. The literature was reviewed and analysed and conclusions were made by the Swiss PBM in obstetrics working group of experts in a consensus meeting. Results PBM comprises a series of measures to maintain an adequate haemoglobin level, improve haemostasis and reduce bleeding, aiming to improve patient outcomes. Despite the fact that the WHO has recommended PBM early 2010, the majority of hospitals are in need of guidelines to apply PBM in daily practice. PBM demonstrated a reduction in morbidity, mortality, and costs for patients undergoing surgery or medical interventions with a high bleeding potential. All pregnant women have a significant risk for PPH. Risk factors do exist; however, 60% of women who experience PPH do not have a pre-existing risk factor. Patient blood management in obstetrics must, therefore, not only be focused on women with identified risk factor for PPH, but on all pregnant women. Due to the risk of PPH, which is inherent to every pregnancy, PBM is of particular importance in obstetrics. Although so far, there is no clear guideline how to implement PBM in obstetrics, there are some simple, effective measures to reduce anaemia and the necessity of transfusions in women giving birth and thereby improving clinical outcome and avoiding complications. Conclusion PBM in obstetrics is based on three main pillars: diagnostic and/or therapeutic interventions during pregnancy, during delivery and in the postpartum phase. These three main pillars should be kept in mind by all professionals taking care of pregnant women, including obstetricians, general practitioners, midwifes, and anaesthesiologists, to improve pregnancy outcome and optimize resources.

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

Abstract: • 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.

Cited by 56 publications

References 88 publications

Placenta Praevia and Placenta Accreta: Diagnosis and Management

Placenta Praevia and Placenta Accreta: Diagnosis and Management

Multistep approach for control of postpartum hemorrhage in placenta accreta: a novel scheme in a tertiary referral center

Patient blood management (PBM) in pregnancy and childbirth: literature review and expert opinion

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