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Pregnancy after uterine arteriovenous malformation–case series and literature review
Purpose: To perform a retrospective audit of cases of uterine arteriovenous malformations (UAVM) at The Canberra Hospital and review of recent literature reporting pregnancies occurring after the diagnosis of UAVM aiming to devise a diagnostic and treatment protocol to optimise pregnancy post UAVM....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5025090/ https://www.ncbi.nlm.nih.gov/pubmed/28191151 http://dx.doi.org/10.1002/j.2205-0140.2012.tb00012.x |
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author | Eling, Rebeka Kent, Alison Robertson, Meiri |
author_facet | Eling, Rebeka Kent, Alison Robertson, Meiri |
author_sort | Eling, Rebeka |
collection | PubMed |
description | Purpose: To perform a retrospective audit of cases of uterine arteriovenous malformations (UAVM) at The Canberra Hospital and review of recent literature reporting pregnancies occurring after the diagnosis of UAVM aiming to devise a diagnostic and treatment protocol to optimise pregnancy post UAVM. Methods: A retrospective audit of cases of UAVM at the Canberra Hospital from a prospectively managed patient database was performed. A search of the electronic database PubMed, for articles between 2000–2011 relating to pregnancy post UAVM. Individual case studies were analysed separately to case series. Results: The study included 28 individual studies and five case series (61 women). Average age was 29.5 ± 6.7 (range 18–42). Most women (24, 85.7%, 100% in case series) presented with abnormal vaginal bleeding; 11 (41%) individuals presented post interruption of pregnancy. All women had had a previous pregnancy (mean gravidity 3.1 ± 3.1, range 1–15 for case studies) and only four women (14.2 %) had no history of uterine trauma. Only one woman (3.6 %) did not have any ultrasound and most women underwent colour Doppler ultrasonography (20, 71.4% in case studies; 61, 83.6% in case series). Of the women, 72 (53.6 % of case studies, 78.1 % of case series) were treated with uterine artery embolisation, seven (25%) were treated expectantly. A total of 63 pregnancies occurred post treatment, seven (13.9%) ending in miscarriage. Average time to conceive post diagnosis was 19 months ± 16.3 (range 2–72). A total of 54 healthy infants were born to mothers post AVM diagnosis. Conclusion: UAVM are likely to exist on a continuum with other pregnancy related pathologies, such as sub involution of the placental bed, making a single best diagnostic and treatment plan difficult. However, this study shows that successful uncomplicated pregnancy is achievable for women after the diagnosis of UAVM. |
format | Online Article Text |
id | pubmed-5025090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-50250902017-02-10 Pregnancy after uterine arteriovenous malformation–case series and literature review Eling, Rebeka Kent, Alison Robertson, Meiri Australas J Ultrasound Med Review Articles Purpose: To perform a retrospective audit of cases of uterine arteriovenous malformations (UAVM) at The Canberra Hospital and review of recent literature reporting pregnancies occurring after the diagnosis of UAVM aiming to devise a diagnostic and treatment protocol to optimise pregnancy post UAVM. Methods: A retrospective audit of cases of UAVM at the Canberra Hospital from a prospectively managed patient database was performed. A search of the electronic database PubMed, for articles between 2000–2011 relating to pregnancy post UAVM. Individual case studies were analysed separately to case series. Results: The study included 28 individual studies and five case series (61 women). Average age was 29.5 ± 6.7 (range 18–42). Most women (24, 85.7%, 100% in case series) presented with abnormal vaginal bleeding; 11 (41%) individuals presented post interruption of pregnancy. All women had had a previous pregnancy (mean gravidity 3.1 ± 3.1, range 1–15 for case studies) and only four women (14.2 %) had no history of uterine trauma. Only one woman (3.6 %) did not have any ultrasound and most women underwent colour Doppler ultrasonography (20, 71.4% in case studies; 61, 83.6% in case series). Of the women, 72 (53.6 % of case studies, 78.1 % of case series) were treated with uterine artery embolisation, seven (25%) were treated expectantly. A total of 63 pregnancies occurred post treatment, seven (13.9%) ending in miscarriage. Average time to conceive post diagnosis was 19 months ± 16.3 (range 2–72). A total of 54 healthy infants were born to mothers post AVM diagnosis. Conclusion: UAVM are likely to exist on a continuum with other pregnancy related pathologies, such as sub involution of the placental bed, making a single best diagnostic and treatment plan difficult. However, this study shows that successful uncomplicated pregnancy is achievable for women after the diagnosis of UAVM. John Wiley and Sons Inc. 2015-12-31 2012-08 /pmc/articles/PMC5025090/ /pubmed/28191151 http://dx.doi.org/10.1002/j.2205-0140.2012.tb00012.x Text en © 2012 Australasian Society for Ultrasound in Medicine |
spellingShingle | Review Articles Eling, Rebeka Kent, Alison Robertson, Meiri Pregnancy after uterine arteriovenous malformation–case series and literature review |
title | Pregnancy after uterine arteriovenous malformation–case series and literature review |
title_full | Pregnancy after uterine arteriovenous malformation–case series and literature review |
title_fullStr | Pregnancy after uterine arteriovenous malformation–case series and literature review |
title_full_unstemmed | Pregnancy after uterine arteriovenous malformation–case series and literature review |
title_short | Pregnancy after uterine arteriovenous malformation–case series and literature review |
title_sort | pregnancy after uterine arteriovenous malformation–case series and literature review |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5025090/ https://www.ncbi.nlm.nih.gov/pubmed/28191151 http://dx.doi.org/10.1002/j.2205-0140.2012.tb00012.x |
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