title: Impact of pelvic arterial embolization for intractable postpartum hemorrhage on fertility.
abstract: OBJECTIVE
  This study was to determine the long-term outcomes of arterial pelvic embolization for intractable postpartum hemorrhage and particularly its effect on menses, fertility, and outcomes of subsequent pregnancies.
  
  
  METHODS
  Fifty-six consecutive patients who underwent emergency pelvic arterial embolization for severe postpartum hemorrhage between April 1995 and July 2005 were included in the study. Patients were contacted to obtain information about menses and fertility after pelvic arterial embolization.
  
  
  RESULTS
  Thirty-four women (61.8%) were successfully contacted. One patient had a hysterectomy. Thirty women (91%) reported regular menses. Thirteen women (38.3%) had a total of 20 spontaneous pregnancies. Eight pregnancies ended during the first trimester. The 12 other pregnancies (60%) were all normal and all patients delivered vaginally healthy babies with normal weight for gestational age.
  
  
  CONCLUSIONS
  The current study suggests that fertility is not adversely affected by arterial pelvic embolization for intractable postpartum hemorrhage and that women can conceive after the procedure with normal pregnancy outcomes.
authors.affiliation: University of Pierre et Marie Curie, Paris 6, Paris, France.
authors.forename: Olivia
authors.initials: O
authors.lastname: Fiori
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Deux
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Kambale
authors.forename: Serge
authors.initials: S
authors.lastname: Uzan
authors.forename: Franck
authors.initials: F
authors.lastname: Bougdhene
authors.forename: Nadia
authors.initials: N
authors.lastname: Berkane
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D005298:Fertility; D006801:Humans; D006473:Postpartum Hemorrhage / Q000628:therapy*; D012720:Severity of Illness Index; D055815:Young Adult