The Late-Term Pregnancy Proportion of Women Experiencing Postpartum Hemorrhage and Symptomatic Fibroids Following Uterine Artery Embolization: A Meta-Analysis
Background: There are short of systematical analyze of the late-term pregnancy proportion of women experiencing postpartum hemorrhage and symptomatic fibroids following uterine artery embolization (UAE). Methods: This was a systematic literature review and meta-analysis of existing studies. Results:...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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IMR Press
2022-07-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/49/7/10.31083/j.ceog4907155 |
| _version_ | 1818475693383614464 |
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| author | Xi Zhou Liu Liu Song Liu Bing Yang |
| author_facet | Xi Zhou Liu Liu Song Liu Bing Yang |
| author_sort | Xi Zhou |
| collection | DOAJ |
| description | Background: There are short of systematical analyze of the late-term pregnancy proportion of women experiencing postpartum hemorrhage and symptomatic fibroids following uterine artery embolization (UAE). Methods: This was a systematic literature review and meta-analysis of existing studies. Results: In total, we identified 497 pregnancies following UAE; 49 patients chose to abort their pregnancies, 79 miscarried during the early- or middle-terms of pregnancy, and 378 pregnancies successfully progressed into the late-term (>28 weeks). When considering the included studies, 58.33%–100% of pregnancies successfully reached the late-term. When considering all studies, the proportion of subjects achieving a late-term pregnancy was 96% (95% confidence interval [CI], 90%–100%) when using a random model (I2 = 21.08, p < 0.001). With regards to the methods used to perform embolization, the proportion of late-term pregnancies were 92% (95% CI, 79%–100%) in the absorbable Embosphere group and 88% (95% CI, 79%–95%) in the non-absorbable Embosphere group. The proportion of patients achieving late-term pregnancy after UAE was 93% (95% CI, 85%–93%) in the group experiencing postpartum hemorrhage and 82% (95% CI, 73%–90%) in those with symptomatic fibroids. Conclusions: Our analyses indicate that patients have a good chance of a successful pregnancy if they experience postpartum hemorrhage patients and symptomatic fibroids patients if they wish to preserve their fertility. |
| first_indexed | 2024-12-10T09:16:01Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-12-10T09:16:01Z |
| publishDate | 2022-07-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-0046b364ffde42479fe5f3810bbc07fa2022-12-22T01:54:51ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-07-0149715510.31083/j.ceog4907155S0390-6663(22)01841-3The Late-Term Pregnancy Proportion of Women Experiencing Postpartum Hemorrhage and Symptomatic Fibroids Following Uterine Artery Embolization: A Meta-AnalysisXi Zhou0Liu Liu1Song Liu2Bing Yang3Department of Gynaecology, The Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, ChinaDepartment of Gynaecology, The Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, ChinaDepartment of Gynaecology, The Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, ChinaDepartment of Gynaecology, The Affiliated Hospital of Zunyi Medical University, 563000 Zunyi, Guizhou, ChinaBackground: There are short of systematical analyze of the late-term pregnancy proportion of women experiencing postpartum hemorrhage and symptomatic fibroids following uterine artery embolization (UAE). Methods: This was a systematic literature review and meta-analysis of existing studies. Results: In total, we identified 497 pregnancies following UAE; 49 patients chose to abort their pregnancies, 79 miscarried during the early- or middle-terms of pregnancy, and 378 pregnancies successfully progressed into the late-term (>28 weeks). When considering the included studies, 58.33%–100% of pregnancies successfully reached the late-term. When considering all studies, the proportion of subjects achieving a late-term pregnancy was 96% (95% confidence interval [CI], 90%–100%) when using a random model (I2 = 21.08, p < 0.001). With regards to the methods used to perform embolization, the proportion of late-term pregnancies were 92% (95% CI, 79%–100%) in the absorbable Embosphere group and 88% (95% CI, 79%–95%) in the non-absorbable Embosphere group. The proportion of patients achieving late-term pregnancy after UAE was 93% (95% CI, 85%–93%) in the group experiencing postpartum hemorrhage and 82% (95% CI, 73%–90%) in those with symptomatic fibroids. Conclusions: Our analyses indicate that patients have a good chance of a successful pregnancy if they experience postpartum hemorrhage patients and symptomatic fibroids patients if they wish to preserve their fertility.https://www.imrpress.com/journal/CEOG/49/7/10.31083/j.ceog4907155late-term pregnancy proportionpostpartum hemorrhagesymptomatic fibroidsuterine artery embolizationmeta-analysis |
| spellingShingle | Xi Zhou Liu Liu Song Liu Bing Yang The Late-Term Pregnancy Proportion of Women Experiencing Postpartum Hemorrhage and Symptomatic Fibroids Following Uterine Artery Embolization: A Meta-Analysis Clinical and Experimental Obstetrics & Gynecology late-term pregnancy proportion postpartum hemorrhage symptomatic fibroids uterine artery embolization meta-analysis |
| title | The Late-Term Pregnancy Proportion of Women Experiencing Postpartum Hemorrhage and Symptomatic Fibroids Following Uterine Artery Embolization: A Meta-Analysis |
| title_full | The Late-Term Pregnancy Proportion of Women Experiencing Postpartum Hemorrhage and Symptomatic Fibroids Following Uterine Artery Embolization: A Meta-Analysis |
| title_fullStr | The Late-Term Pregnancy Proportion of Women Experiencing Postpartum Hemorrhage and Symptomatic Fibroids Following Uterine Artery Embolization: A Meta-Analysis |
| title_full_unstemmed | The Late-Term Pregnancy Proportion of Women Experiencing Postpartum Hemorrhage and Symptomatic Fibroids Following Uterine Artery Embolization: A Meta-Analysis |
| title_short | The Late-Term Pregnancy Proportion of Women Experiencing Postpartum Hemorrhage and Symptomatic Fibroids Following Uterine Artery Embolization: A Meta-Analysis |
| title_sort | late term pregnancy proportion of women experiencing postpartum hemorrhage and symptomatic fibroids following uterine artery embolization a meta analysis |
| topic | late-term pregnancy proportion postpartum hemorrhage symptomatic fibroids uterine artery embolization meta-analysis |
| url | https://www.imrpress.com/journal/CEOG/49/7/10.31083/j.ceog4907155 |
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