Document Detail

Prolonged obstructed labor causing a severe obstetric fistula: a case report.
MedLine Citation:
PMID:  17694983     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Severe obstructed labor with a pelvic fistula is associated with significant fetal and maternal morbidity and mortality. It is rare in the developed world due to access to health care and availability of cesarean section for labor dystocia. CASE: A 25-year-old primigravida in denial of her pregnancy due to a psychotic disorder experienced prolonged obstructed labor at home with fetal death, necrosis of her bladder and uterus, sepsis and profound neuropathy. Aggressive surgical and medical management, including hysterectomy and urinary diversion, resulted in survival and an enhanced potential for a good quality of life. CONCLUSION: Severe urogenital fistula secondary to prolonged obstructed labor can occur in a metropolitan area. In the setting of psychiatric disease, physicians must be prepared for the most remote clinical situations and complications.
Allison N Korell; Peter A Argenta; Janette H Strathy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  52     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-08-14     Completed Date:  2007-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  555-6     Citation Subset:  IM    
Department of Obstetrics, Gynecology, and Women's Health, University of Minnesota, Minneapolis, USA.
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MeSH Terms
Affective Disorders, Psychotic / complications
Fetal Death*
Peritonitis / etiology*
Vesicovaginal Fistula / etiology*

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