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PRE-OPERATIVE BILATERAL UTERINE ARTERY CATHETERISATION AND INTRAOPERATIVE EMBOLIZATION IN PREVENTION AND TREATMENT OF HEMORRHAGE DURING CAESAREAN SECTION IN PLACENTA PREVIA – A CASE SERIES IN A TERTIARY CARE HOSPITAL

BACKGROUND: Placenta previa is defined as complete or partial covering of cervical internal os with the placenta. Placenta previa is a major risk factor for obstetric haemorrhage. Uterine artery embolization (UAE) reduces blood flow to the lower uterine segment which helps to reduce blood loss during placental separation.

OBJECTIVE: Though UAE is a well-established modality to reduce obstetric hemorrhage, we will explore success, benefit and complications of UAE in placenta previa patiens.

METHOD: This is a case series. We have collected data from 1st October, 2017 to 31st December, 2017 at Department of Obstetrics and Gynecology, Command Hospital (Eastern Command) Kolkata.

RESULTS: In our study, we performed UAE in the five patients with placenta previa.

Mean operative blood loss was 1100 ml. We found 60% success in UAE and only 40% patient required blood transfusion. In our study no patient required hysterectomy. All patients were discharged without any mortality and morbidity.

CONCLUSION: UAE is technically demanding, require specially trained interventional radiologist in a properly equipped radiology suit. In those facilities, uterine artery embolization can be helpful to patients who wish to preserve fertility but have high risk for obstetric hemorrhage during cesarean section.

KEY WORDS: Placenta previa, Haemorrhage, Uterine artery embolization


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