Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF ) Freely available
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (30)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Nizard, J.
Right arrow Articles by Fernandez, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nizard, J.
Right arrow Articles by Fernandez, H.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Human Reproduction, Vol. 18, No. 4, 844-848, April 2003
© 2003 European Society of Human Reproduction and Embryology

Fertility and pregnancy outcomes following hypogastric artery ligation for severe post-partum haemorrhage

J. Nizard1, L. Barrinque1, R. Frydman1 and H. Fernandez1,2

1 Service de Gynécologie-Obstérique et Biologie de la Reproduction, Hôpital Antoine Béclère (AP-HP), Clamart cedex, France

2 To whom correspondence should be addressed at: Service de Gynécologie-Obstérique et Biologie de la Reproduction Hôpital Antoine Béclère (AP-HP), 157, Rue de la Porte de Trivaux, 92140 Clamart cedex, France. e-mail: herve.fernandez{at}abc.ap-hop-paris.fr

BACKGROUND: Hypogastric artery ligation is a therapeutic option for severe post-partum haemorrhage. Little is known about the outcomes of subsequent fertility and pregnancy. We studied these parameters in women who required hypogastric artery ligation for severe post-partum haemorrhage in our institution over a 13-year period. METHODS: All patients who required hypogastric artery ligation for severe intractable post-partum haemorrhage from January, 1989 to April, 2001 were included. Data were retrieved from medical files and telephone interviews. RESULTS: A total of 68 patients required hypogastric artery ligation during the study period. Seventeen patients had 21 pregnancies with 13 term deliveries, two ectopic pregnancies, three miscarriages, and three abortions. Twenty-eight patients did not want a new pregnancy and one patient refused the interview. Twenty-three (34%) patients were lost to follow up. None of the patients suffered subsequent infertility and pregnancy was achieved in <12 months once planned. Pregnancy outcomes were normal. Fifty-four percent had vaginal deliveries. Three patients suffered a threatened post-partum haemorrhage that was easily treated medically. CONCLUSIONS: This is the largest reported series of pregnancies following hypogastric artery ligation. Hypogastric artery ligation for post-partum bleeding >1 l appears to be a safe procedure that does not impair subsequent fertility and pregnancy outcomes.

Key words: fertility/hypogastric artery ligation/post-partum haemorrhage/pregnancy


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Hum ReprodHome page
L. Sentilhes, C. Trichot, B. Resch, F. Sergent, H. Roman, L. Marpeau, and E. Verspyck
Fertility and pregnancy outcomes following uterine devascularization for severe postpartum haemorrhage
Hum. Reprod., May 1, 2008; 23(5): 1087 - 1092.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
L.J. Salomon and H. Fernandez
Arterial embolization for postpartum haemorrhage: let's stay cautious
Hum. Reprod., August 1, 2004; 19(8): 1928 - 1928.
[Full Text] [PDF]

Home page
 Hum ReprodHome page
C. B.M. Wingen
Pelvic artery ligation or embolization and fertility and pregnancy
Hum. Reprod., October 1, 2003; 18(10): 2236 - 2236.
[Full Text] [PDF]

Home page
 Hum ReprodHome page
H. Fernandez
Pelvic artery ligation or embolization and fertility and pregnancy
Hum. Reprod., October 1, 2003; 18(10): 2236 - 2237.
[Full Text] [PDF]

Home page
 Hum ReprodHome page
L.J. Salomon, R. de Tayrac, V. Castaigne-Meary, F. Audibert, D. Musset, R. Ciorascu, R. Frydman, and H. Fernandez
Fertility and pregnancy outcome following pelvic arterial embolization for severe post-partum haemorrhage. A cohort study
Hum. Reprod., April 1, 2003; 18(4): 849 - 852.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.