Subsequent pregnancy in women who have undergone bilateral uterine artery ligation during cesarean section: A case series

IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Experimental and therapeutic medicine Pub Date : 2023-11-13 DOI:10.3892/etm.2023.12296
Jian An
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Abstract

Bilateral uterine artery ligation (BUAL) serves as an effective surgical devascularization procedure in obstetric emergencies. However, concerns regarding the impact of uterine devascularization have evoked dispute. Here, the fetal growth index and obstetrical outcomes during the subsequent pregnancy of women who had undergone BUAL during cesarean section are reported. The case series of women who underwent BUAL during cesarean section and had another delivery later at the Xiamen Women and Children's Hospital between 2011 and 2020 is described. Pregnancies that did not continue beyond 20 weeks of gestation were excluded. Cases were identified from neonatal and obstetric databases and the clinical data of all cases were extracted. A total of 12 cases were identified retrospectively. Fetal biometric parameters of subsequent pregnancies in all cases including biparietal diameter, head circumference, abdominal circumference, and femur length are presented graphically across the different gestational ages and were all within the range of the 3rd‑97th percentile. No maternal or neonatal morbidity was observed. BUAL did not appear to compromise a woman's subsequent obstetric outcomes. As a safe and simple surgical technique, it is safe to recommend BUAL in clinical practice.
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剖宫产术中行双侧子宫动脉结扎术的妇女的后续妊娠:一个病例系列
双侧子宫动脉结扎术(BUAL)是产科急诊中一种有效的外科断流术。然而,对子宫断流影响的关注引起了争议。本文报道了在剖宫产术中进行BUAL的妇女在随后妊娠期间的胎儿生长指数和产科结果。本文描述了2011年至2020年期间在厦门妇女儿童医院剖宫产术中接受BUAL并随后再次分娩的妇女的病例系列。不超过20周的妊娠被排除在外。从新生儿和产科数据库中确定病例,并提取所有病例的临床资料。回顾性发现12例。所有病例后续妊娠的胎儿生物特征参数,包括双顶骨直径、头围、腹围和股骨长度,均在不同胎龄的胎儿生物特征参数的第3 - 97百分位范围内。未观察到产妇或新生儿发病。BUAL似乎不会影响妇女随后的产科结果。BUAL是一种安全、简便的手术技术,在临床中推荐使用是安全的。
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来源期刊
Experimental and therapeutic medicine
Experimental and therapeutic medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
1.50
自引率
0.00%
发文量
570
审稿时长
1 months
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