Pregnancy after uterine fibroid embolization.

OBJECTIVE To evaluate the outcome of pregnancy after uterine fibroid embolization (UFE). DESIGN Retrospective study. SETTING Private hospital affiliated with a university. PATIENT(S) In a single center, UFE was performed in 74 patients who wanted to become pregnant. INTERVENTION(S) Polyvinyl alcohol particles (PVA) or embozene microspheres were used to embolize the uterine arteries. Enhanced pelvic magnetic resonance was performed before UFE and 6 months after UFE in all patients. MAIN OUTCOME MEASURE(S) The number of pregnancies and their development. RESULT(S) Of the 74 women who wanted to become pregnant, 44 of them became pregnant (59.5%). There are five (11.3%) ongoing pregnancies and 39 (88.7%) finished pregnancies, with 33 successful live births (84.6%), four spontaneous abortions (10.3%), one induced abortion, and one stillbirth. There were 22 cesarean deliveries (66.6%), two preterm deliveries at 36 weeks (6.1%), and five low birth weights. CONCLUSION(S) Pregnancy after UFE appears to be safe.