A successful term pregnancy after uterine artery embolisation for  uterine fibroids

Hnin Yu KHIN and Mary C PAUL

Department of Obstetrics & Gynaecology, RIPAS hospital, Brunei Darussalam

ABSTRACT

Uterine fibroids are common and if large can cause problem with conception and also pregnancy. Most are asymptomatic. For symptomatic fibroids, myomectomy is the standard of treatment. Uterine artery embolisation (UAE) has been well known accepted as a non-surgical alternative treatment for symptomatic uterine fibroids. Successful pregnancy outcomes after UAE have been reported. However, its safety is still remained uncertain as studies showed that pregnancies after UAE are more likely to have adverse pregnancy outcomes.  We report the case of a 28-year-old lady had a spontaneous conception two year after UAE. She delivered a term female healthy baby of 3.2 kg by caesarean section at around 38 week gestation, with the complication of primary post-partum haemorrhage.

Keywords: Uterine leimyoma, fibroid, pregnancy, embolotherapy, therapeutic embolisation

Correspondence author: Hnin Yu KHIN, Department of Obstetrics & Gynaecology, Women and Children Block, RIPAS hospital, Bandar Seri Begawan, Brunei Darussalam

Tel: +673 8963935  E mail: hykhin@gmail.com

Brunei Int Med J. 2015; 11 (5): 257-260