Use of uterine artery embolization to prevent peripartum hemorrhage of placental abruption with fetal demise & severe DIC

E. Latif, S. Adam*, B. Rungruang, A. Al-Hendy, M.P. Diamond, E. Rotem, J. Cannell, P.C. Browne | JNPM 2016;

Uterine artery embolization (UAE) is typically not indicated in the pre-operative management of pregnancies with a live fetus, because risk of fetal death from reduced uteroplacental blood flow. However, pre-operative UAE in pregnancies with a fetal demise poses no fetal risk, and may offer maternal benefits. Patients with placental abruption resulting in fetal demise are at high-risk for developing disseminated intravascular coagulation (DIC), which could have devastating complications such as peri-operative hemorrhage and death. This case report describes the first successful execution of a pre-operative UAE that effectively prevented antepartum and postpartum hemorrhage in a patient with DIC secondary to a placental abruption and recent fetal demise.

*Corresponding Author: 

Sarah Adam, MD, Deptarment of Obstetrics and Gynecology, Mercer University Medical Center, Macon, GA, USA. E-mail: