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| Influence of transcatheter arterial embolization for treating women with postpartum hemorrhage on their uterine and ovarian arterial blood flow and ovarian function |
| 1. The Third Affiliated Hospital of Zhengzhou University, Henan Province, 450000; 2.School of Public Health, Zhengzhou University |
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Abstract To analyze the influence of transcatheter arterial embolization (TAE) for treating women with postpartum hemorrhage on their uterine and ovarian arterial blood flow and ovarian function. Methods: The women with postpartum hemorrhage who received TAE treatment were selected in observation group from January 2016 to January 2018, and the normal postpartum women were selected in control group during the same time. The impedance index (RI), pulse index (PI), ratio of systolic peak to end-diastolic blood flow velocity (S/D), serum anti-mullerian hormone (AMH), basal serum follicle-stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) of women were compared between the two groups. Results: The time of menstrual recovery and postpartum breastfeeding ratio of women in the observation group were 8.1±3.6 months and 19.0%, which were significant less than those (10.5±4.0 months and 78.0% ) of women in the control group (P<0.05). There were no statistical difference in the changes of menstrual period duration and menstrual volume compared to those before pregnancy of women between the two groups (P>0.05). There were no statistical difference in the RI, PI and S/D values of left and right uterine arteries and ovarian arteries, and the levels of serum AMH and serum FSH, LH, T and E2 of women between the two groups (P>0.05). Conclusion: TAE for treating women with postpartum hemorrhage has no significant adverse effect on the blood supply of their uterine and ovarian and their ovarian function.
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