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Pregnancy after uterine fibroid embolization
João M Pisco1, Marisa Duarte, Tiago Bilhim
1Department of Radiology, St Louis Hospital, Faculty of Medical Sciences, New University of Lisbon, Lisbon, Portugal. joao.pisco@chln.min-saude.pt
Objective:
To evaluate the outcome of pregnancy after uterine fibroid embolization (UFE).
Design:
Retrospective study.
Setting:
Private hospital affiliated with a university.
Patient(S):
In a single center, UFE was performed in 74 patients who wanted to become pregnant.
Intervention(S):
Polyvinyl alcohol particles (PVA) or embozene microspheres were used to embolize the uterine arteries. Enhanced pelvic magnetic resonance was performed before UFE and 6 months after UFE in all patients.
Main Outcome Measure(S):
The number of pregnancies and their development.
Result(S):
Of the 74 women who wanted to become pregnant, 44 of them became pregnant (59.5%). There are five (11.3%) ongoing pregnancies and 39 (88.7%) finished pregnancies, with 33 successful live births (84.6%), four spontaneous abortions (10.3%), one induced abortion, and one stillbirth. There were 22 cesarean deliveries (66.6%), two preterm deliveries at 36 weeks (6.1%), and five low birth weights.
Conclusion(S):
Pregnancy after UFE appears to be safe.
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