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Oh Baby, Interventional Radiology Makes Childbirth Safer
Date:3/10/2009

cessive blood flow, explained interventional radiologist J. Robert D. Beecroft, M.D., who along with Kachura was a co-lead for the Mount Sinai study. "Often with massive bleeding, there is so much blood coming at the obstetrician that it is impossible for him or her to see from the outside in order to surgically intervene. Since interventional radiologists visualize what they are doing from the inside of the vessel using imaging, we can see the blood supply, stop the bleeding and pinpoint the location for embolization treatment," said Beecroft. After delivery, if an invasive placenta could not be delivered, the obstetrician left the placenta in place; interventional radiologists used uterine artery embolization -- with absorbable gelatin sponge -- to close blood vessels to the placenta, in essence, cutting off its blood supply so that it would die and eventually be reabsorbed by the body.

The retrospective study evaluated intraoperative blood loss, finding that obstetricians immediately see a dramatic decrease in bleeding once the balloons are inflated (allowing for easier surgical intervention). In examining hysterectomy rate, researchers found "considerable improvement," with 75 percent of the women keeping their uteri (compared to previous statistics showing that 80 percent of women had hysterectomies), said Beecroft. He explained that interventional radiologists worked collaboratively with obstetricians/maternal fetal medicine specialists at Mount Sinai to provide a multidisciplinary approach for patients.

More information about women's health issues and interventional radiology can be found online at www.SIRweb.org.

Abstract 173: "Endovascular Repair of Vascular Complications Following Cesarean Section," C. Fan, D. Pyne, R.A. Baum, M.S. Stecker, A.K. Chun, S.K. O'Horo, M.P. Schenker, A.S. Han, Brigham and Women's Hospital, Boston, Mass., SIR 34th Annual Sci
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SOURCE Society of Interventional Radiology
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