Strategic Intraoperative Uterine Artery Embolization To Prevent Postpartum Hemorrhage

• Main Authors: Wang, Yusheng, 王裕生
• Other Authors: Ding, Huichi
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/62513569762778427401

碩士 === 義守大學 === 資訊工程學系碩士在職專班 === 100 === Placenta accrete is one of the major causes of postpartum hemorrhage. In recent years, there has been increased incidence of placenta accrete due to popularity of caesarian sections. At the present, management of placenta accrete include timely hysterectomy after delivery or supportive care. However, even prompt hysterectomy may cause catastrophic bleeding and it’s not the option for patients who wish for future pregnancy. On the other hand, conservational hemostasis probably not enough for hypotensive shock caused by massive bleeding and multiple transfusions may induce unwarranted disseminated intravascular coagulopathy or even obstetric death. Preventive endovascular embolization of uterine arteries executed by the experienced radiologists, and with proper schedule arrangement and equipment preparation as opposed to emergent situation yields significant better results. Although there had been only 16 accumulated cases since first such trial in 2003, but the result of 100 percent successful rate still makes it worthwhile for promotion. Our experience is new approaches for management of placenta accrete. With the readily available state of art equipments and advanced techniques in most hospitals, this new strategy can be applied to reduce to risk of postpartum bleeding from placenta accrete, prevent maternity death and preserving uterus at the same time.