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Fertil Steril. 2008 Nov;90(5):1886-91. Epub 2007 Dec 26.

Pregnancy outcomes after uterine artery occlusion: prospective multicentric study.

Author information

1
Department of Obstetrics and Gynecology, Baby Friendly Hospital, Kladno, Czech Republic. holubz@seznam.cz

Abstract

OBJECTIVE:

To assess the reproductive outcomes after laparoscopic uterine artery occlusion (LUAO) and uterine artery embolization (UAE) in women with symptomatic fibroids.

DESIGN:

Prospective, clinical multicentric study.

SETTING:

Endoscopic center in the department of obstetrics and gynecology at a hospital in the Czech Republic.

PATIENT(S):

Thirty-eight pregnant women after LUAO and 20 pregnant women after UAE.

INTERVENTION(S):

Laparoscopic uterine artery occlusion and UAE.

MAIN OUTCOME MEASURE(S):

Pregnancy, abortion, preterm delivery, and live-birth rates.

RESULT(S):

Pregnancies after uterine embolization had a statistically significantly higher rate for spontaneous abortion (56%) than did pregnancies after surgical uterine artery occlusion (10.5%). The risk of malpresentation (20%) and the rate for cesarean section (80%) after UAE similarly were higher than was the risk after laparoscopic occlusion; however, these differences were not statistically significant. Also, there were no significant differences between the groups in preterm deliveries (15.3% in the LUAO group vs. 20% in the UAE group).

CONCLUSION(S):

Pregnancies of women who were treated with uterine embolization were at significantly increased risk for spontaneous abortion when compared with pregnancies of women treated with LUAO.

[Indexed for MEDLINE]

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