News | Interventional Radiology | March 19, 2021

Non-invasive option has quicker recovery and shorter hospital stays in 12-year sample

Many women suffering significant postpartum bleeding continue to receive hysterectomies, rather than uterine artery embolization (UAE), despite evidence that UAE results in reduced hospital stays and costs, and offers an opportunity to preserve fertility, according to new research to be presented at the Society of Interventional Radiology Annual Scientific Meeting

March 19, 2021 — Many women suffering significant postpartum bleeding continue to receive hysterectomies, rather than uterine artery embolization (UAE), despite evidence that UAE results in reduced hospital stays and costs, and offers an opportunity to preserve fertility, according to new research to be presented at the Society of Interventional Radiology Annual Scientific Meeting.

“Giving birth has become increasingly dangerous for women in the U.S., and postpartum hemorrhage is a leading cause of the loss of life related to childbirth,” said Janice M. Newsome, M.D., FSIR, associate professor, Department of Radiology and Imaging Sciences at Emory University School of Medicine and a lead author of the study. “All patients should have consistent access to a treatment that is safer, has an easier recovery and could preserve their ability to continue to have children.”

In a review of nearly 10 million hospital births between 2005 and 2017, researchers found the most common intervention was transfusion, but removal of the uterus through hysterectomy was used 60% more often to manage bleeding than UAE, a minimally invasive procedure that uses real-time imaging to release tiny particles into uterine arteries to control the bleeding. Hysterectomy was twice as common as embolization in Hispanic patients, and also more common in rural and nonteaching urban hospitals, in the South and among Medicaid and self-paying patients.

Prolonged hospital stays of more than 14 days were twice as likely in patients who had hysterectomies and the procedure resulted in $18,000 higher hospital charges.

“Postpartum hemorrhage can occur quickly, and effective treatment options should be readily available to every woman having a child in the United States,” said Newsome. “For hospitals that have IR services available, this can be accomplished by creating a concrete care plan for new mothers who are at higher risk of dangerous bleeding during childbirth.”

Newsome envisions creating postpartum hemorrhage response teams, similar to other trauma teams, that would train together and develop response protocols, so that they are better able to identify risk factors of postpartum hemorrhage and ensure the right staff are on hand for delivery to respond quickly and save mothers’ lives before it gets to the point of needing radical surgery.

Researchers used the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database, which tracks every hospital admission in the United States, and examined the results of significant postpartum bleeding, which occurred in 3.1 percent of live births.

For more information: www.sirmeeting.org

Related Content

News | Radiology Business

June 29, 2022 — Siemens Healthineers and The Ohio State University Wexner Medical Center announced a new alliance, aimed ...

Time June 29, 2022
arrow
News | Ultrasound Imaging

June 28, 2022 — Mindray, a global leader and developer of healthcare technologies and solutions for ultrasound, patient ...

Time June 28, 2022
arrow
News | Mammography

June 23, 2022 — Black and Asian women are more likely than white women to experience significant delays in getting ...

Time June 23, 2022
arrow
News | Contrast Media

June 23, 2022 — Supply chain disruptions have created critical shortages of Omnipaque (iohexol) and Visipaque (iodixanol ...

Time June 23, 2022
arrow
News | MRI Breast

June 22, 2022 — According to ARRS’ American Journal of Roentgenology (AJR), contrast-enhanced mammography (CEM) may be a ...

Time June 22, 2022
arrow
News | SIR

June 20, 2022 — SIR Foundation launched a program to enhance the scientific rigor of research into interventional ...

Time June 20, 2022
arrow
News | Interventional Radiology

June 17, 2022 — Parag J. Patel, MD, MS, FSIR, an interventional radiologist and professor of radiology at the Medical ...

Time June 17, 2022
arrow
News | Computed Tomography (CT)

June 16, 2022 — Xoran Technologies has recently received a patent for a modular computed tomography (CT) system assembly ...

Time June 16, 2022
arrow
News | Interventional Radiology

June 13, 2022 — The Society of Interventional Radiology (SIR) presented its highest honor, the SIR Gold Medal, to ...

Time June 13, 2022
arrow
News | Interventional Radiology

June 13, 2022 — As demand for minimally invasive surgery continues to grow, GE Healthcare is committed to helping ...

Time June 13, 2022
arrow
Subscribe Now