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Pregnancy outcomes after uterine artery embolisation for fibroids

^1. Department of Obstetrics and Gynaecology, Institute for Women’s Health, University College London, 86–96 Chenies Mews, London WC1E 6HX, UK Email: h.homer{at}ucl.ac.uk (corresponding author)
^2. Elizabeth Garrett Anderson Hospital, Huntley Street, London WC1E6AU, UK

Key content:

• Data on pregnancy following uterine artery embolisation (UAE) are scarce, with just over 200 pregnancies reported to date.
  
• The weight of retrospective data and two small prospective trials of UAE versus surgical intervention suggest increased levels of adverse pregnancy outcomes following fibroid embolisation.
  
• In the absence of more robust evidence, caution should be exercised in recommending UAE to women who retain reproductive ambitions.
  

Learning objectives:

• To increase awareness of the potential reproductive risks of UAE.
  
• To appreciate the limitations of the existing evidence.
  

Ethical issues:

• Caution should be exercised before advocating UAE for intractable fibroid-related symptoms in women desirous of future pregnancy.
  

Please cite this article as: Homer H, Saridogan E. Pregnancy outcomes after uterine artery embolisation for fibroids. The Obstetrician & Gynaecologist 2009;11:265–270.

Keywords caesarean section / malpresentation / miscarriage / myomectomy / preterm delivery / postpartum haemorrhage