Postpartum Uterine Artery Embolization in a Patient with Uncontrolled Hemorrhage

Postpartum hemorrhage remains a major cause of maternal morbidity and mortality. We report a case of postpartum haemorrhage which was successfully controlled with embolization of the uterine artery. A 28-year-old woman was admitted in active labor at 39 weeks gestation. A Caesarean section was perfo...

Full description

Bibliographic Details
Main Authors: Mehmet Osmanağaoğlu, Ayşegül Cansu, Hasan Dinç, Turhan Aran, Süleyman Güven, Recep Erin
Format: Article
Language:English
Published: Medical Network 2011-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:http://gorm.com.tr/index.php/GORM/article/view/288
_version_ 1797908849421713408
author Mehmet Osmanağaoğlu
Ayşegül Cansu
Hasan Dinç
Turhan Aran
Süleyman Güven
Recep Erin
author_facet Mehmet Osmanağaoğlu
Ayşegül Cansu
Hasan Dinç
Turhan Aran
Süleyman Güven
Recep Erin
author_sort Mehmet Osmanağaoğlu
collection DOAJ
description Postpartum hemorrhage remains a major cause of maternal morbidity and mortality. We report a case of postpartum haemorrhage which was successfully controlled with embolization of the uterine artery. A 28-year-old woman was admitted in active labor at 39 weeks gestation. A Caesarean section was performed without complication, and a live female infant weighing 3200 g was delivered. After delivery, the uterus remained atonic. Hemorrhage was reduced with bimanual compression following intravenous oxytocin and intramuscular injection of ergometrine. In the recovery room, there was minimal uterine bleeding from cervical os, the vagina was full of clots. The uterus was always well contracted, but bleeding from the cervical os was continued. After consultation with an interventional radiologist, bilaterally uterine artery embolization was performed. Angiographic embolisation should be considered as the treatment of choice for intractable primary postpartum haemorrhage in appropriate selected cases.
first_indexed 2024-04-10T10:58:55Z
format Article
id doaj.art-897ee9aab0fd4918affb35f170069569
institution Directory Open Access Journal
issn 1300-4751
language English
last_indexed 2024-04-10T10:58:55Z
publishDate 2011-04-01
publisher Medical Network
record_format Article
series Gynecology Obstetrics & Reproductive Medicine
spelling doaj.art-897ee9aab0fd4918affb35f1700695692023-02-15T16:19:46ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512011-04-01171220Postpartum Uterine Artery Embolization in a Patient with Uncontrolled HemorrhageMehmet Osmanağaoğlu0Ayşegül Cansu1Hasan Dinç2Turhan Aran3Süleyman Güven4Recep Erin5Karadeniz Technical University Faculty of Medicine Department Of Gynecology and Obstetric, TrabzonKaradeniz Technical University Faculty of Medicine Department Of Radiology, TrabzonKaradeniz Technical University Faculty of Medicine Department Of Radiology, TrabzonKaradeniz Technical University Faculty of Medicine Department Of Gynecology and Obstetric, TrabzonKaradeniz Technical University Faculty of Medicine Department Of Gynecology and Obstetric, TrabzonKaradeniz Technical University Faculty of Medicine Department Of Gynecology and Obstetric, TrabzonPostpartum hemorrhage remains a major cause of maternal morbidity and mortality. We report a case of postpartum haemorrhage which was successfully controlled with embolization of the uterine artery. A 28-year-old woman was admitted in active labor at 39 weeks gestation. A Caesarean section was performed without complication, and a live female infant weighing 3200 g was delivered. After delivery, the uterus remained atonic. Hemorrhage was reduced with bimanual compression following intravenous oxytocin and intramuscular injection of ergometrine. In the recovery room, there was minimal uterine bleeding from cervical os, the vagina was full of clots. The uterus was always well contracted, but bleeding from the cervical os was continued. After consultation with an interventional radiologist, bilaterally uterine artery embolization was performed. Angiographic embolisation should be considered as the treatment of choice for intractable primary postpartum haemorrhage in appropriate selected cases.http://gorm.com.tr/index.php/GORM/article/view/288Uterine artery embolization, Postpartum haemorrhage
spellingShingle Mehmet Osmanağaoğlu
Ayşegül Cansu
Hasan Dinç
Turhan Aran
Süleyman Güven
Recep Erin
Postpartum Uterine Artery Embolization in a Patient with Uncontrolled Hemorrhage
Gynecology Obstetrics & Reproductive Medicine
Uterine artery embolization, Postpartum haemorrhage
title Postpartum Uterine Artery Embolization in a Patient with Uncontrolled Hemorrhage
title_full Postpartum Uterine Artery Embolization in a Patient with Uncontrolled Hemorrhage
title_fullStr Postpartum Uterine Artery Embolization in a Patient with Uncontrolled Hemorrhage
title_full_unstemmed Postpartum Uterine Artery Embolization in a Patient with Uncontrolled Hemorrhage
title_short Postpartum Uterine Artery Embolization in a Patient with Uncontrolled Hemorrhage
title_sort postpartum uterine artery embolization in a patient with uncontrolled hemorrhage
topic Uterine artery embolization, Postpartum haemorrhage
url http://gorm.com.tr/index.php/GORM/article/view/288
work_keys_str_mv AT mehmetosmanagaoglu postpartumuterinearteryembolizationinapatientwithuncontrolledhemorrhage
AT aysegulcansu postpartumuterinearteryembolizationinapatientwithuncontrolledhemorrhage
AT hasandinc postpartumuterinearteryembolizationinapatientwithuncontrolledhemorrhage
AT turhanaran postpartumuterinearteryembolizationinapatientwithuncontrolledhemorrhage
AT suleymanguven postpartumuterinearteryembolizationinapatientwithuncontrolledhemorrhage
AT receperin postpartumuterinearteryembolizationinapatientwithuncontrolledhemorrhage