Post-Partum haemorrhage(PPH) or Bleeding after delivery
- Approximately 25-30% of such deaths.
- In India as per 2014 data, 190 women per lakh lost their life during child birth.
- 14 million women in developing countries experience PPH—26 women every minute.
- Traditional treatment for refractory PPH is Internal iliac artery ligation and hysterectomy(removal of uterus).
- Hysterectomy in young females may have many psychosocial, emotional and physical issues.
- No further pregnancies can sometime have detrimental effect on the family.
- Also it is associated with premature ovarian failure and hormonal imbalance.
If timely performed, success rate of UAE for PPH is approximately 98%.
A study from our very own institute “PGIMER Chandigarh” of 50 patients showed technical success rate
- Uterine artery embolization should be the treatment of choice & should be regarded as gold standard for severe PPH with the failure of conservative treatment.
- It should be performed before patient goes into shock or severe DIC develops.
- Menses, Fertility, Pregnancy all appear to return to normal post embolization.
