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Successful Term Pregnancy After Bilateral Uterine Artery Embolization for Postpartum Hemorrhage

Wang, Hsin MD; Garmel, Sara MD

CASE REPORTS
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BACKGROUND Selective bilateral uterine artery embolization has been used since the 1970s for the conservative treatment of postpartum hemorrhage. The fertility rate after the embolization procedure is yet to be determined.

CASE A 30-year-old woman presented with placental abruption and subsequently delivered preterm at 29 5/7 weeks' gestation. Her delivery was complicated by postpartum hemorrhage, for which selective bilateral uterine artery embolization was performed with successful cessation of the hemorrhage. Three months later, the patient presented with a spontaneous pregnancy. Her pregnancy resulted in an appropriately grown fetus delivered at 39 weeks' gestation.

CONCLUSION This is one of the earliest reported successful pregnancies after a bilateral uterine artery embolization procedure performed for postpartum hemorrhage. This case adds to a growing literature demonstrating that pregnancy after embolization is possible, and can occur soon after the procedure.

We describe one of the earliest reported term pregnancies after abilateral uterine artery embolization procedure for postpartum hemorrhage.

Department of Obstetrics and Gynecology, Oakwood Healthcare System, Dearborn, Michigan

Address reprint requests to: Sara Garmel, MD, Oakwood Healthcare System, 18101 Oakwood Boulevard, Suite 302, Dearborn, MI 48124; E-mail: garmels@oakwood.org.

Received July 07 08, 2002. Received in revised form November 11 08, 2002. Accepted November 11 27, 2002.

© 2003 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.