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[Obstetrical prognosis following ligation of hypogastric arteries]
Nabil Mathlouthi1, Belhassen Ben Ayed, Mohamed Dhouib
1Universite de Sfax, Sfax, Tunisie.
Background:
Ligation of hypogastric arteries is a conservative surgical treatment in cases of postpartum hemorrhage.
Aim:
To study the fertility and pregnancies outcome in women who required hypogastric artery ligation for severe post-partum haemorrhage in our hospital.
Methods:
The fertility and pregnancy outcome parameters were retrieved from medical files and telephone interviews
Results:
34 patients required hypogastric ligation on this period. 39 pregnancies were observed with 30 term deliveries, 1 ectopic pregnancies and 8 miscarriages. Two patients had infertility and pregnancy was obtained in less than 10 months most once desired.Pregnancy outcome was normal. 73,3% of deliveries were by caesarean.
Conclusion:
Hypogastric artery ligation for post-partum haemorrhage is not responsible for secondary infertility. Following pregnancies do not suffer complications from the ligation.
