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 | Breast Imaging

June 20, 2024 — The technologically advanced VELA Mammography Chair, offered by Enable Me, a VELA Medical company ...

Time June 20, 2024
arrow
News | Breast Imaging

June 18, 2024 — Delphinus Medical Technologies, a pioneering medical imaging company that developed the SoftVue Breast ...

Time June 18, 2024
arrow
News | Neuro Imaging

June 12, 2024 — Brainet, a developer of cutting-edge diagnostic tools for assessing brain health, and SimonMed Imaging ...

Time June 12, 2024
arrow
News | Breast Imaging

June 7, 2024 — Scholars and studies funded by Susan G. Komen(R), the world’s leading breast cancer organization ...

Time June 07, 2024
arrow
News | Breast Density

June 6, 2024 — Subsequent rounds of abbreviated breast MRI (AB-MR) screening in patients with dense breasts had lower ...

Time June 06, 2024
arrow
News | Breast Imaging

June 4, 2024 — Using artificial intelligence (AI), breast radiologists in Denmark have improved breast cancer screening ...

Time June 04, 2024
arrow
Feature | Radiology Business | By Melinda Taschetta-Millane

As we flip the page to a new month on our calendars, here is a look at the Top 10 pieces of content viewers were reading ...

Time June 04, 2024
arrow
News | Breast Imaging

May 28, 2024 — iCAD, Inc., a global leader in clinically proven AI-powered cancer detection solutions, announced a ...

Time May 28, 2024
arrow
News | ARRS

May 8, 2024 — Compared to males, women in radiology are at a consistently higher risk of not matching into diagnostic ...

Time May 08, 2024
arrow
News | Mammography

May 6, 2024 — Enable Me, a VELA Medical company, cited major new research by Siemens Healthineers entitled, “The future ...

Time May 06, 2024
arrow
Subscribe Now