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

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Abstract
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 1 l appears to be a safe procedure that does not impair subsequent fertility and pregnancy outcomes.

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