Successful pregnancy following both endometrial ablation and uterine artery embolization.
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.
Foote
Meghan
M
Department of Obstetrics and Gynecology, Akron General Medical Center, Akron, Ohio 44307, USA.
Rouse
Angela
A
Gil
Karen M
KM
Crane
Stephen
S
Lavin
Justin P
JP
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*