{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T01:11:55Z","timestamp":1780708315969,"version":"3.54.1"},"reference-count":11,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,25]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>Induction of labour using a balloon catheter is common practice throughout the world, often used in high-risk pregnancies due to the improved safety profile for the fetus compared with pharmacological methods. This report outlines the case of a 2500 mL antepartum haemorrhage on placement of a Foley catheter through the cervix at a secondary obstetric unit in New Zealand. An emergency caesarean section was carried out 20 min after the bleeding onset. No obvious cause for the bleeding was identified at caesarean. The mother required a blood transfusion, but otherwise, did well clinically; the infant required resuscitation at birth and went on to suffer a left middle cerebral artery stroke. At 6 months, he is assumed to have recovered with no long-term sequelae. A literature review has highlighted this was an unprecedented event. We hope to raise awareness of this rare catastrophic adverse outcome given the prevalence of balloon catheter induction.<\/jats:p>","DOI":"10.1136\/bcr-2020-239591","type":"journal-article","created":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T23:23:56Z","timestamp":1612481036000},"page":"e239591","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Massive antepartum haemorrhage at insertion of Foley balloon catheter for induction of labour"],"prefix":"10.1136","volume":"14","author":[{"given":"Diana","family":"Fieldwick","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Hutt Valley District Health Board, Lower Hutt, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orla","family":"Power","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Hutt Valley District Health Board, Lower Hutt, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meera","family":"Sood","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Hutt Valley District Health Board, Lower Hutt, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"2025082707374259000_14.2.e239591.1","unstructured":"Ministry of Health . Report on maternity. New Zealand: Ministry of Health, 2017. https:\/\/www.health.govt.nz\/system\/files\/documents\/publications\/report-maternity-2017-may19.pdf"},{"key":"2025082707374259000_14.2.e239591.2","unstructured":"NICE . Interventional procedure overview of insertion of a double balloon catheter for induction of labour in pregnant women without previous caesarean section, 2014."},{"key":"2025082707374259000_14.2.e239591.3","unstructured":"World Health Organisation, Dept. of Reproductive Health and Researc . WHO recommendations for Induction of labour, 2020. Available: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/44531\/9789241501156_eng.pdf?sequence=1"},{"key":"2025082707374259000_14.2.e239591.4","unstructured":"Ministry of Health, New Zealand . Induction of Labour in New Zealand A clinical practice guideline, 2020. Available: https:\/\/ranzcog.edu.au\/RANZCOG_SITE\/media\/RANZCOG-MEDIA\/New%20Zealand\/IOL-CPG-2019_for-external-consultation.pdf"},{"key":"2025082707374259000_14.2.e239591.5","doi-asserted-by":"crossref","unstructured":"Diederen M , Gommers JSM SM , Wilkinson C . Safety of the balloon catheter for cervical ripening in outpatient care: complications during the period from insertion to expulsion of a balloon catheter in the process of labour induction: a systematic review. BJOG 2017;125.doi:10.1111\/1471-0528.15047","DOI":"10.1111\/1471-0528.15047"},{"key":"2025082707374259000_14.2.e239591.6","article-title":"Mechanical methods for induction of labour","volume":"56","author":"de Vaan","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"2025082707374259000_14.2.e239591.7","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318220e4b7"},{"key":"2025082707374259000_14.2.e239591.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61484-0"},{"key":"2025082707374259000_14.2.e239591.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00084-2"},{"key":"2025082707374259000_14.2.e239591.10","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s00404-009-1136-7","article-title":"Complications of trans-cervical Foley catheter for labor induction among 1,083 women","volume":"281","author":"Maslovitz","year":"2010","journal-title":"Arch Gynecol Obstet"},{"key":"2025082707374259000_14.2.e239591.11","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000183"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:37:50Z","timestamp":1756305470000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,4]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-239591"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239591","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}