Uterine artery embolization for primary postpartum hemorrhage

سال انتشار: 1392
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 321

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شناسه ملی سند علمی:

JR_IJRM-11-6_010

تاریخ نمایه سازی: 16 شهریور 1395

چکیده مقاله:

Background: Postpartum hemorrhage is the leading cause of severe maternal morbidity and death. A prompt management of uterine artery embolization (UAE) isimportant for a good outcome. UAE is generally accepted to be a safe and reliable procedure. Objective: To estimate critical patient characteristics influencing the success ofUAE for the treatment of emergent primary postpartum hemorrhage. Materials and Methods: This was a cross sectional study that reviewed 121patients who were diagnosed primary postpartum hemorrhage between February 2002 and December 2009 at a tertiary treatment center among 4,022 deliveries. We evaluated patient clinical characteristics associated with a successful surgicaloutcome of UAE. Results: The success rate for UAE was 96%. For two cases, UAE complication was associated with fever (>38.5oC). Five patients had problems that required admissionto the intensive care unit (ICU). Conclusion: To increase the surgical success rate and lower the number of ICUadmissions, the decision to treat primary postpartum hemorrhage using UAE should be based on individual patient clinical findings under the direction of obstetrics staffand an interventional radiologist

نویسندگان

Tae-Hee Kim

Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea

Hae-Hyeog lee

Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea

jun-mo kim

Department of Urology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea.

Ae-Li Ryu

Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea