Impact of the new French clinical practice recommendations in embolization in postpartum and post-abortion hemorrhage: study of 48 cases
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Marie-Lise Mathe
Abstract
Aim: To evaluate the use of arterial embolization in postpartum hemorrhage (PPH) by comparing the indications, efficacy, times to diagnosis, treatment, and embolization, and conditions of management of patients before and after publication of the Collège National des Gynécologues et Obstétriciens Français clinical practice recommendations (CPR).
Methods: Forty-eight patients who underwent embolization between January 2000 and December 2005 were included in a retrospective, descriptive, and comparative study. We compared the management before (n=21) and after (n=27) publication of the CPR. The main outcome measures were time to diagnosis of PPH, time to treatment initiation, time to decision to implement embolization, time to embolization, hemodynamic characteristics.
Results: The number of embolizations has quadrupled since publication of the CPR, and the time taken to decide on embolization has been reduced by 30%. The success rate was 96%, there were no second embolization procedures, and one complication was recorded (hematoma of pubic symphysis). Hemodynamic status was better in patients treated after the CPR (P=0.003).
Conclusion: Embolization is an effective and safe technique, with a low complication rate. In our healthcare network, the decision to use embolization was faster since the CPR, embolizations have quadrupled, and patients' hemodynamic status has improved.
©2007 by Walter de Gruyter Berlin New York
Artikel in diesem Heft
- Index Volume 35 (2007)
- Index - Authors
- Acknowledgement
- Index - Subjects
- Editorial
- The Istanbul international consensus statement on the perinatal care of multiple pregnancy
- Uterine activity monitoring during labor
- Is non-directive counseling for patient choice cesarean delivery ethically justified?
- GDM women in good glycemic control: which meal-related measure enhances fetal well-being?
- Intrahepatic cholestasis of pregnancy: detection with urinary bile acid assays
- Elevated blood lead levels in pregnant women: identification of a high-risk population and interventions
- Correlation of transthoracic echocardiography and right heart catheterization in pregnancy
- Adiponectin in severe preeclampsia
- Resistin: a hormone which induces insulin resistance is increased in normal pregnancy
- Plasma adiponectin concentrations in non-pregnant, normal and overweight pregnant women
- Impact of the new French clinical practice recommendations in embolization in postpartum and post-abortion hemorrhage: study of 48 cases
- The relationship between congenital malformations and preterm birth
- Obstetrical factors for death and brain injury among extremely-low-birth-weight infants
- Early detection of a congenital coronary artery fistula in a neonate by Doppler color flow mapping
- The exit procedure (ex-utero intrapartum treatment): management of giant fetal cervical teratoma
- Intestinal trefoil factor in treatment of neonatal necrotizing enterocolitis in the rat model
- Intestinal trefoil factor in treatment of neonatal necrotizing enterocolitis in the rat model
- Recurrent pregnancy loss
- Congress Calendar
Artikel in diesem Heft
- Index Volume 35 (2007)
- Index - Authors
- Acknowledgement
- Index - Subjects
- Editorial
- The Istanbul international consensus statement on the perinatal care of multiple pregnancy
- Uterine activity monitoring during labor
- Is non-directive counseling for patient choice cesarean delivery ethically justified?
- GDM women in good glycemic control: which meal-related measure enhances fetal well-being?
- Intrahepatic cholestasis of pregnancy: detection with urinary bile acid assays
- Elevated blood lead levels in pregnant women: identification of a high-risk population and interventions
- Correlation of transthoracic echocardiography and right heart catheterization in pregnancy
- Adiponectin in severe preeclampsia
- Resistin: a hormone which induces insulin resistance is increased in normal pregnancy
- Plasma adiponectin concentrations in non-pregnant, normal and overweight pregnant women
- Impact of the new French clinical practice recommendations in embolization in postpartum and post-abortion hemorrhage: study of 48 cases
- The relationship between congenital malformations and preterm birth
- Obstetrical factors for death and brain injury among extremely-low-birth-weight infants
- Early detection of a congenital coronary artery fistula in a neonate by Doppler color flow mapping
- The exit procedure (ex-utero intrapartum treatment): management of giant fetal cervical teratoma
- Intestinal trefoil factor in treatment of neonatal necrotizing enterocolitis in the rat model
- Intestinal trefoil factor in treatment of neonatal necrotizing enterocolitis in the rat model
- Recurrent pregnancy loss
- Congress Calendar
