title: Double-balloon cervical ripening catheter works well as an intrauterine balloon tamponade in post-abortion massive hemorrhage.
abstract: OBJECTIVE
  Clinical experience in the management of post-abortion hemorrhage is limited.
  
  
  METHODS
  Two women with severe post-abortion hemorrhage were reported. One case occurred after methotrexate treatment of Cesarean scar pregnancy and the other occurred after abortion surgery. Both patients were successfully treated with a double-balloon cervical ripening catheter inducing intrauterine balloon tamponade.
  
  
  CONCLUSIONS
  Use of a double-balloon cervical ripening catheter either before or after systemic methotrexate treatment is one of the choices in the management of severe post-abortion hemorrhage and can prevent the use of more invasive and/or destructive procedures.
authors.affiliation: Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
authors.forename: Kuan-Hao
authors.initials: KH
authors.lastname: Tsui
authors.forename: Li-Te
authors.initials: LT
authors.lastname: Lin
authors.forename: Ken-Jen
authors.initials: KJ
authors.lastname: Yu
authors.forename: Shun-Fen
authors.initials: SF
authors.lastname: Chen
authors.forename: Wen-Hsun
authors.initials: WH
authors.lastname: Chang
authors.forename: Shu
authors.initials: S
authors.lastname: Yu
authors.forename: Jiin-Tsuey
authors.initials: JT
authors.lastname: Cheng
authors.forename: Peng-Hui
authors.initials: PH
authors.lastname: Wang
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000009:adverse effects; D000028:Abortion, Induced / Q000009:adverse effects*; D000328:Adult; D057785:Catheters; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000009:adverse effects; D011247:Pregnancy; D058738:Uterine Balloon Tamponade / Q000295:instrumentation*; D014592:Uterine Hemorrhage / Q000209:etiology / Q000628:therapy*
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate