Document Detail

Successful management of second-trimester postabortion hemorrhage with an intrauterine tamponade balloon.
MedLine Citation:
PMID:  19155934     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Legally induced abortion is a safe procedure. However, hemorrhage is a significant cause of abortion-related morbidity and mortality. We describe a case in which a uterine tamponade balloon was successfully used to control a second-trimester postabortion hemorrhage.
CASE: A gravida 1 para 0 woman underwent dilation and evacuation at 18 weeks of gestation for fetal aneuploidy. Her procedure was complicated by intraoperative hemorrhage not resulting from uterine atony. This was successfully managed by tamponade with a large intrauterine balloon.
CONCLUSION: Uterine balloon tamponade should be considered in the management of second-trimester postabortion hemorrhage unresponsive to medical therapy.
Tessa Madden; Anne E Burke
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  113     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-21     Completed Date:  2009-02-23     Revised Date:  2010-12-01    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  501-3     Citation Subset:  AIM; IM    
Washington University School of Medicine, St. Louis, Missouri, USA.
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MeSH Terms
Abortion, Eugenic
Balloon Dilation*
Balloon Occlusion*
Dilatation and Curettage / adverse effects*
Postoperative Hemorrhage / etiology,  therapy*
Pregnancy Trimester, Second

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