The Effect of Bilateral Uterine Artery Ligation after Intrapartum or Postpartum Hemorrhage on Ovarian Reserve Markers and Pregnancy Outcome
Ossman, A., Omar, M. (2024). The Effect of Bilateral Uterine Artery Ligation after Intrapartum or Postpartum Hemorrhage on Ovarian Reserve Markers and Pregnancy Outcome. EKB Journal Management System, 14(2), 164-168. doi: 10.21608/ebwhj.2023.246978.1274
Ahmed M.E. Ossman; Mona K. Omar. "The Effect of Bilateral Uterine Artery Ligation after Intrapartum or Postpartum Hemorrhage on Ovarian Reserve Markers and Pregnancy Outcome". EKB Journal Management System, 14, 2, 2024, 164-168. doi: 10.21608/ebwhj.2023.246978.1274
Ossman, A., Omar, M. (2024). 'The Effect of Bilateral Uterine Artery Ligation after Intrapartum or Postpartum Hemorrhage on Ovarian Reserve Markers and Pregnancy Outcome', EKB Journal Management System, 14(2), pp. 164-168. doi: 10.21608/ebwhj.2023.246978.1274
Ossman, A., Omar, M. The Effect of Bilateral Uterine Artery Ligation after Intrapartum or Postpartum Hemorrhage on Ovarian Reserve Markers and Pregnancy Outcome. EKB Journal Management System, 2024; 14(2): 164-168. doi: 10.21608/ebwhj.2023.246978.1274

The Effect of Bilateral Uterine Artery Ligation after Intrapartum or Postpartum Hemorrhage on Ovarian Reserve Markers and Pregnancy Outcome

Evidence Based Women's Health Journal
Article 4, Volume 14, Issue 2, May 2024, Page 164-168  XML PDF (316.66 K)
Document Type: Original Article
DOI: 10.21608/ebwhj.2023.246978.1274
View on SCiNiTO View on SCiNiTO
Authors
Ahmed M.E. Ossman email 1; Mona K. Omar2
1Assistant Professor of Obstetrics and Gynecology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
2Assistant Professor of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt
Abstract
Objectives: Postpartum hemorrhage (PPH) and intrapartum hemorrhage (IPH) are serious and life-threatening obstetric complications. The most common cause is uterine atony. We intended to determine the effect of uterine artery ligation (UAL (after intrapartum hemorrhage (IPH) or Postpartum Hemorrhage (PPH) on ovarian reserve markers and pregnancy outcome.
Materials and Methods: This prospective cohort research was conducted on 120 females aged from 20 to 35 years old with PPH or IPH after cesarean section, not responded to medical therapy and performed effective UAL for management of hemorrhage. Patients were classified into two equal groups, case group: cases who underwent bilateral uterine artery ligation after PPH or IPH after cesarean section, control group: who underwent normal cesarean section without PPH or IPH. Follow up of women seeking pregnancy at 6,12, and 24 months.
Results: Ovarian reserve (follicle size, FSH, pre antral follicle count (AFC) and anti-Müllerian Hormone) in females who underwent bilateral UAL after PPH or IPH (case group) were comparable between case group and control group at all follow up measurements after 6,12, and 24 months.
Conclusions: UAL does not seem to compromise the cases’ consequent fertility (ovarian reserve markers) and pregnancy outcomes.
Keywords
Intrapartum hemorrhage; ovarian reserve; postpartum hemorrhage; pregnancy; uterine artery ligation
Statistics
Article View: 59
PDF Download: 58