title: Successful pregnancy following both endometrial ablation and uterine artery embolization.
abstract: OBJECTIVE
  To present a description of the management of a pregnancy in a woman who had undergone endometrial ablation and uterine artery embolization for fibroids.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Division of Maternal Fetal Medicine within a tertiary community-based teaching hospital.
  
  
  METHODS
  A 43-year-old G2P1 woman who had undergone a hydrothermal ballon ablatation and a bilateral, nonselective embolization.
  
  
  METHODS
  Management of a high-risk pregnancy.
  
  
  METHODS
  Successful pregnancy.
  
  
  RESULTS
  The patient was prophylactically treated with 250 mg of 17 alpha-hydroxyprogesterone intramuscularly weekly, beginning at 16 weeks gestation, received a rescue McDonald cerclage at 22 weeks and 4 days, and remained on modified bed rest at home. Ultrasonically estimated fetal weights were in the 30th to 40th percentile. At 35 4/7th weeks she presented with uterine pain. Ultrasound revealed fundal elevation of the amniotic membranes, estimated fetal weight had decreased to the 20th percentile and a biophysical profile score of 4/10 was obtained. A cesarean resulted in the delivery of a vigorous infant weighing 2466 g.
  
  
  CONCLUSIONS
  With aggressive therapy, successful pregnancy is possible in similar patients.
authors.affiliation: Department of Obstetrics and Gynecology, Akron General Medical Center, Akron, Ohio 44307, USA.
authors.forename: Meghan
authors.initials: M
authors.lastname: Foote
authors.forename: Angela
authors.initials: A
authors.lastname: Rouse
authors.forename: Karen M
authors.initials: KM
authors.lastname: Gil
authors.forename: Stephen
authors.initials: S
authors.lastname: Crane
authors.forename: Justin P
authors.initials: JP
authors.lastname: Lavin
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007889:Leiomyoma / Q000175:diagnosis; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis; D011256:Pregnancy Outcome; D011379:Prognosis; D014591:Uterine Diseases / Q000628:therapy*; D014592:Uterine Hemorrhage / Q000628:therapy*; D014594:Uterine Neoplasms / Q000175:diagnosis; D014599:Uterus / Q000098:blood supply*