Effectiveness of Selective Arterial Embolisation for Post-Partum Haemorrhage
Author Information
Author(s): Touboul Cyril, Badiou Wassim, Saada Julien, Pelage Jean-Pierre, Payen Didier, Vicaut Eric, Jacob Denis, Rafii Arash
Primary Institution: Hôpital Lariboisière, AP-HP, Paris, France
Hypothesis
The study aimed to assess the efficacy and optimal indication of selective arterial embolisation (SAE) in patients with life-threatening post-partum haemorrhage (PPH).
Conclusion
Selective arterial embolisation is effective for treating post-partum haemorrhage, particularly in cases of uterine atony, but has lower success rates in patients with haemodynamic shock or after caesarean deliveries.
Supporting Evidence
- SAE was effective for 73 patients (71.5%) in stopping the bleeding.
- Uterine atony was associated with a high success rate of 88.6%.
- Patients with haemodynamic shock had a failure rate of 39.1%.
Takeaway
This study looked at how well a special procedure works to stop heavy bleeding after childbirth. It found that the procedure works best for certain types of bleeding but not for everyone.
Methodology
The study included 102 patients with life-threatening PPH who underwent SAE, and their outcomes were analyzed using univariate and multivariate statistical methods.
Potential Biases
The outcomes may be biased due to the transfer of patients from other hospitals, which could affect their condition and treatment results.
Limitations
The study's limitations include the difficulty in accurately assessing blood loss and the variability in the experience of different radiologists performing the procedure.
Participant Demographics
The mean age of participants was 31.8 years, with a range from 21 to 45 years, and included women who experienced severe PPH.
Statistical Information
P-Value
p<0.005
Confidence Interval
1.35–12.60
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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