Pregnancy outcomes after treatment for fibromyomata: Uterine artery embolization versus laparoscopic myomectomy

Jay Goldberg, Leonardo Pereira, Vincenzo Berghella, James Diamond, Emile Daraï, Piero Seinera, Renato Seracchioli

Research output: Contribution to journalArticle

152 Scopus citations

Abstract

Objective The objective of this study was to compare pregnancy outcomes in women with fibromyomata who were treated with uterine artery embolization to the outcomes in women who were treated with laparoscopic myomectomy. Study design We compiled data from 53 pregnancies after uterine artery embolization and 139 pregnancies after laparoscopic myomectomy. We calculated and compared rates for spontaneous abortion, postpartum hemorrhage, preterm delivery, cesarean delivery, small for gestational age, and malpresentation. Results Pregnancies after uterine artery embolization had higher rates of preterm delivery (odds ratio, 6.2; 95% CI, 1.4, 27.7) and malpresentation (odds ratio, 4.3; 95% CI, 1.0, 20.5) than did pregnancies after laparoscopic myomectomy. The risks of postpartum hemorrhage (odds ratio, 6.3; 95% CI, 0.6, 71.8) and spontaneous abortion (odds ratio, 1.7; 95% CI, 0.8, 3.9) after uterine artery embolization were similarly higher than the risks after laparoscopic myomectomy; however, these differences were not statistically significant. Conclusion Pregnancies in women with fibromyomata who were treated by uterine artery embolization, compared with pregnancies after laparoscopic myomectomy, were at increased risk for preterm delivery and malpresentation.

Original languageEnglish (US)
Pages (from-to)18-21
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume191
Issue number1
DOIs
Publication statusPublished - Jul 2004
Externally publishedYes

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Keywords

  • Fibromyomata
  • Laparoscopic myomectomy
  • Pregnancy
  • Uterine artery embolization

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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