Previous uterine artery embolization increases the rate of repeat embolization in a subsequent pregnancy

This study aimed to determine the rate of repeat uterine artery embolization (UAE) in women with a previous UAE. Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009–2013. We enrolled women who had a first d...

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Detalles Bibliográficos
Autores principales: Cho, Geum Joon, Shim, Jae-Yoon, Ouh, Yung-Taek, Kim, Log Young, Lee, Tae Seon, Ahn, Ki Hoon, Hong, Soon-Cheol, Oh, Min-Jeong, Kim, Hai-Joong, Lee, Pil Ryang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614611/
https://www.ncbi.nlm.nih.gov/pubmed/28950018
http://dx.doi.org/10.1371/journal.pone.0185467
Descripción
Sumario:This study aimed to determine the rate of repeat uterine artery embolization (UAE) in women with a previous UAE. Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009–2013. We enrolled women who had a first delivery in 2009 and a second delivery between 2010 and 2013. Among 226,408 women who had a first delivery in 2009, 296 underwent UAE. A total of 127,506 women had a second delivery between 2010 and 2013. Of 296 women who underwent UAE after the first delivery, 94 had a second delivery between 2010 and 2013. Women with a previous UAE had a higher rate of UAE at the second delivery than women without a previous UAE. Multivariate adjusted analysis showed that a UAE at the first delivery increased the rate of UAE at the second delivery (odds ratio 25.56, 95% confidence interval 9.86–66.23). Women with a previous UAE should be appropriately counseled and monitored for the need for a repeat UAE.

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