[Obstetrical prognosis following ligation of hypogastric arteries].

BACKGROUND

Ligation of hypogastric arteries is a conservative surgical treatment in cases of postpartum hemorrhage.

AIM: To study the fertility and pregnancies outcome in women who required hypogastric artery ligation for severe post-partum haemorrhage in our hospital.

METHODS

The fertility and pregnancy outcome parameters were retrieved from medical files and telephone interviews

RESULTS

34 patients required hypogastric ligation on this period. 39 pregnancies were observed with 30 term deliveries, 1 ectopic pregnancies and 8 miscarriages. Two patients had infertility and pregnancy was obtained in less than 10 months most once desired.Pregnancy outcome was normal. 73,3% of deliveries were by caesarean.

CONCLUSION

Hypogastric artery ligation for post-partum haemorrhage is not responsible for secondary infertility. Following pregnancies do not suffer complications from the ligation.