Single Balloon Aberration into the Uterus despite no Rupture of the Fetal Membranes: A Case Report

Abstract

An obstetrical single balloon is used to facilitate ripening of the cervix and is widely used because it is relatively safe.Even when used that tool correctly, sometimes unexpected events might occur leaving us puzzled. We report a case in which a single balloon catheter aberrated fully into the uterus without rupture of the membranes at 41 weeks of gestation. Keeping in mind the possibility of placental abruption, artificial rupture of the membranes was performed, which triggered uterine contractions and, finally, resulted in a natural delivery.While the need for a single balloon to be inserted by a skilled practitioner and confirmation of the position of the balloon are essential, in the present case, we were keenly aware of the need for flexibility in our resourcefulness in an unexpected situation. If a single balloon enters into the uterus completely without rapture of the membranes, an amniotomy is suggested.