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Previous uterine artery embolization increases the rate of repeat embolization in a subsequent pregnancy

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  • Geum Joon Cho
  • Jae-Yoon Shim
  • Yung-Taek Ouh
  • Log Young Kim
  • Tae Seon Lee
  • Ki Hoon Ahn
  • Soon-Cheol Hong
  • Min-Jeong Oh
  • Hai-Joong Kim
  • Pil Ryang Lee

Abstract

This study aimed to determine the rate of repeat uterine artery embolization (UAE) in women with a previous UAE. Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009–2013. We enrolled women who had a first delivery in 2009 and a second delivery between 2010 and 2013. Among 226,408 women who had a first delivery in 2009, 296 underwent UAE. A total of 127,506 women had a second delivery between 2010 and 2013. Of 296 women who underwent UAE after the first delivery, 94 had a second delivery between 2010 and 2013. Women with a previous UAE had a higher rate of UAE at the second delivery than women without a previous UAE. Multivariate adjusted analysis showed that a UAE at the first delivery increased the rate of UAE at the second delivery (odds ratio 25.56, 95% confidence interval 9.86–66.23). Women with a previous UAE should be appropriately counseled and monitored for the need for a repeat UAE.

Suggested Citation

  • Geum Joon Cho & Jae-Yoon Shim & Yung-Taek Ouh & Log Young Kim & Tae Seon Lee & Ki Hoon Ahn & Soon-Cheol Hong & Min-Jeong Oh & Hai-Joong Kim & Pil Ryang Lee, 2017. "Previous uterine artery embolization increases the rate of repeat embolization in a subsequent pregnancy," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-7, September.
  • Handle: RePEc:plo:pone00:0185467
    DOI: 10.1371/journal.pone.0185467
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