title: Uterine arterial embolization in the management of severe post-partum hemorrhage: a successful rescue method to avoid peripartum hysterectomy.
abstract: BACKGROUND
  Although the effects of uterine arterial embolization (UAE) for the control of post-partum hemorrhage on menstruation, fertility and future pregnancy have been reported before, domestic reports on long-term outcomes are lacking.
  
  
  METHODS
  From April 2001 to March 2005, 9 patients who underwent UAE for post-partum hemorrhage were evaluated retrospectively. The analyses included both immediate and long-term outcome, including menstruation, future fertility and subsequent pregnancies.
  
  
  RESULTS
  The median follow-up was 82 months, ranging from 63 months to 108 months. All the women had regular menstruation after UAE treatment, but 5 had hypomenorrhea. Four women attempted pregnancy, and 3 had successful term deliveries. One woman was infertile.
  
  
  CONCLUSIONS
  UAE appeared to be a safe procedure. Hypomenorrhea was common after UAE treatment (55.6%), although regular menstruation returned successfully. Future pregnancy seemed possible, and without complications.
authors.affiliation: Department of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC.
authors.forename: Huann-Cheng
authors.initials: HC
authors.lastname: Horng
authors.forename: Wei-Min
authors.initials: WM
authors.lastname: Hu
authors.forename: Hsiou-Shan
authors.initials: HS
authors.lastname: Tseng
authors.forename: Wen-Hsun
authors.initials: WH
authors.lastname: Chang
authors.forename: Kuan-Chong
authors.initials: KC
authors.lastname: Chao
authors.forename: Ming-Jie
authors.initials: MJ
authors.lastname: Yang
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008598:Menstruation; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D055357:Uterine Artery Embolization