Effects of prophylactic uterine artery embolization on second‐trimester induced abortions in patients with placenta previa. Issue 2 (16th August 2018)

• Record Type: Journal Article
• Authors: Wang, Ning; Li, Xing‐Miao; Fei, Yi‐Lin; Liu, Yan‐Min; Lin, Jun; Jiang, Xiu‐Xiu
• Is Part Of: International journal of gynaecology and obstetrics. Volume 143:Issue 2(2018)
• Page Start: 205
• Page End: 210
• Publication Date: 2018-08-16
• Subjects: Ethacridine lactate -- Mifepristone -- Placenta previa -- Pregnancy outcomes -- Second‐trimester induced abortion -- Uterine artery embolization; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.12638
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: To evaluate the effects of prophylactic uterine artery embolization (UAE) on second‐trimester induced abortions in patients with placenta previa. Methods: The present study was a retrospective review of second‐trimester induced abortions in the presence of placenta previa that conducted between January 1, 2008, and October 31, 2017, at a university hospital in Hangzhou, China. Pregnancy outcomes including intraoperative blood loss, transfusion, dilatation and evacuation, hysterotomy delivery, and hysterectomy were compared between patients with and without prophylactic UAE. Results: There were 54 patients included in the study. In patients with partial placenta previa (n=15), the volume of intraoperative blood loss and the frequency of dilatation and evacuation were not significantly different between the UAE and non‐UAE groups ( P >0.05). No patient had a transfusion, hysterotomy delivery, or hysterectomy. Among patients with complete placenta previa (n=39), the volumes of intraoperative blood loss ( P =0.014) and transfusion ( P =0.046) were significantly lower in the UAE group compared with the non‐UAE group. The rates of dilatation and evacuation, and hysterotomy delivery did not differ between the groups ( P >0.05), but were numerically higher in the non‐UAE group. No patient was treated with hysterectomy. Conclusion: Prophylactic UAE before a second‐trimester induced abortion had significant advantages in women with complete placenta previa, but it did not improve the pregnancy outcome in patients with partial placenta previa. Chinese Clinical Trial Registry: ChiCTR‐OPC‐14005334. Abstract : Prophylactic uterine artery embolization before second‐trimester induced abortion was of benefit in women with complete placenta previa, but not in those with partial placenta previa.