Double-balloon cervical ripening catheter works well as an intrauterine balloon tamponade in post-abortion massive hemorrhage

Taiwan J Obstet Gynecol. 2012 Sep;51(3):426-9. doi: 10.1016/j.tjog.2012.07.020.


Objective: Clinical experience in the management of post-abortion hemorrhage is limited.

Case reports: 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.

Conclusion: 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.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents, Nonsteroidal / adverse effects
  • Abortion, Induced / adverse effects*
  • Adult
  • Catheters*
  • Female
  • Humans
  • Methotrexate / adverse effects
  • Pregnancy
  • Uterine Balloon Tamponade / instrumentation*
  • Uterine Hemorrhage / etiology
  • Uterine Hemorrhage / therapy*


  • Abortifacient Agents, Nonsteroidal
  • Methotrexate