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Obstetrics and gynecology · Nov 2015
Case ReportsUse of an Obstetric Balloon for Postabortion Hemorrhage With Disseminated Intravascular Coagulation.
- Robert Rydze, Kamilah Dixon, Jocelyn T Greely, and Shannon M Hawkins.
- Department of Obstetrics & Gynecology, Baylor College of Medicine, Houston, Texas.
- Obstet Gynecol. 2015 Nov 1; 126 (5): 1019-1021.
BackgroundPostabortion 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.CaseA 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.ConclusionAn 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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