[Embolization as treatment for postpartum hemorrhage].
A 33-year-old woman suffered from an early postpartum bleeding (15 hours after delivery) and a 29-year-old patient from a late one (nine days postpartum). Both women were treated with conservative methods including curettage and surgical evacuation of the haematoma in one case. However, blood loss didn't stop. Instead of hysterectomy it was decided to embolize the appropriate cervicouterine branch of the A. uterina in these young women, which appeared to be effective. In case of non-effective treatment of postpartum bleeding, hysterectomy is not the only remaining therapy. Gynaecologists and radiologists together may consider embolization therapy. This has proved to be a minimally invasive and successful treatment. Unlike hysterectomy, the uterus will be preserved, making an additional pregnancy possible.
Lampmann
L E
LE
Afd. Radiologie, St. Elisabeth Ziekenhuis, Postbus 90.151, 5000 LC Tilburg. radiol@knmg.nl
Lohle
P N
PN
Slob
M J
MJ
Schoemaker
M C
MC
de Graaff
J
J
Reuwer
P J
PJ
D000328:Adult; D001158:Arteries; D004107:Dilatation and Curettage; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D011247:Pregnancy; D012008:Recurrence; D016896:Treatment Outcome; D014599:Uterus / Q000098:blood supply* / Q000601:surgery