Abstract
All women with intractable bleeding and who were treated by embolization, were included from the period between 1996 to 2010. The restrospekctive study included 16 women of mean age 30,5 years.
Intractable hemorrhage related to regular delivery occurred 7 times, five times after cesarean section and four times after termination of pregnancy. Seven women (44%) were in hemorrhagic shock during therapeutic embolizatin.
Extravazation was angiographically proved in 5O% cases. Embolization was successful in hemorrhage control in 87,5% of women, in two embolization was repeated for peristent bleeding.
There were 21 additional surgical procedures performed in 13 women before embolization was done as a primary method of bleeding control. No patient died.
In the group of 10 women with maximally 1 surgery before embolization length of hospital stay was 10,1 days in average, while in a gropu of six women having 2 to 3 surgeries before embolization the hospital stay was 21,2 days in average (p=0,03). Embolization of hypogastric arteries decreases length of hospital stay in patients with obstetric hemorrhage and should be done soon if routine methods of bleeding control fail.