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

Ossman, Ahmed M.E.; Omar, Mona K.

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

Document Type : Original Article

Authors

Ahmed M.E. Ossman ¹
Mona K. Omar ²

¹ Assistant Professor of Obstetrics and Gynecology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

² Assistant Professor of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt

10.21608/ebwhj.2023.246978.1274

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.

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