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Pregnancy after uterine artery embolization.
Jay Goldberg1, Leonardo Pereira, Vincenzo Berghella
1Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. jay.goldberg@mail.tju.edu
Obstetrics and Gynecology
|November 9, 2002
Summary
Pregnancy after uterine artery embolization (UAE) carries risks for women. Complications include preterm birth, cesarean delivery, and postpartum hemorrhage, impacting future fertility.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Gynecological Procedures
Background:
- Uterine artery embolization (UAE) is a common alternative to hysterectomy/myomectomy for uterine fibroids.
- The safety of UAE for women desiring future fertility remains controversial.
Purpose of the Study:
- To evaluate the risks and complications associated with pregnancy after UAE.
Main Methods:
- Review of 50 published cases of pregnancy following UAE.
- Analysis of pregnancy outcomes and complications.
Main Results:
- Pregnancy after UAE is associated with significant risks.
- Observed complications include malpresentation (17%), small for gestational age (7%), premature delivery (28%), cesarean delivery (58%), and postpartum hemorrhage (13%).
Conclusions:
- Women who conceive after UAE face increased risks of adverse pregnancy outcomes.
- These risks include malpresentation, preterm birth, cesarean delivery, and postpartum hemorrhage.