Use of an Obstetric Balloon for Postabortion Hemorrhage With Disseminated Intravascular Coagulation

Postabortion hemorrhage occurs in up to 2% of second-trimester pregnancy terminations. Postabortion hemorrhage is the leading cause of postabortion maternal mortality. We report the successful use of an obstetric balloon for second-trimester postabortion hemorrhage complicated by disseminated intrav...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 2015-11, Vol.126 (5), p.1019-1021
Hauptverfasser: Rydze, Robert, Dixon, Kamilah, Greely, Jocelyn T., Hawkins, Shannon M.
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container_end_page 1021
container_issue 5
container_start_page 1019
container_title Obstetrics and gynecology (New York. 1953)
container_volume 126
creator Rydze, Robert
Dixon, Kamilah
Greely, Jocelyn T.
Hawkins, Shannon M.
description Postabortion hemorrhage occurs in up to 2% of second-trimester pregnancy terminations. Postabortion hemorrhage is the leading cause of postabortion maternal mortality. We report the successful use of an obstetric balloon for second-trimester postabortion hemorrhage complicated by disseminated intravascular coagulation. A 38-year-old multigravid woman presented with hypovolemic shock from disseminated intravascular coagulation after second-trimester termination of an anomalous fetus. An intrauterine Foley catheter filled with 60 mL of fluid failed to tamponade bleeding. An obstetric balloon filled with 330 mL of fluid temporized bleeding until the patient's coagulopathy was corrected. An obstetric balloon should be considered in the management of second-trimester postabortion hemorrhage complicated by disseminated intravascular coagulation while coagulopathy is corrected.
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source MEDLINE; Journals@Ovid Complete
subjects Abortion, Induced - adverse effects
Adult
Disseminated Intravascular Coagulation - etiology
Female
Hemorrhage - complications
Hemorrhage - therapy
Humans
Pregnancy
Pregnancy Trimester, Second
Uterine Balloon Tamponade
title Use of an Obstetric Balloon for Postabortion Hemorrhage With Disseminated Intravascular Coagulation
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