Abstract
Background: The cesarean section rate following a pelvic fracture is more than double the standard norms. This results from residual deformity and a lack of knowledge among obstetricians regarding the ability to deliver vaginally after a pelvic fracture. Aim: To present a case of pelvic fracture that delivered vaginally indicating vaginal delivery is possible even after pelvic fractures that are stabilized surgically with minimal or no residual displacement. Case presentation: We present a patient that delivered vaginally following internal fixation of an unstable pelvic fracture with a retained orthopedic implant that spanned the lower abdomen with a metallic bar. We also discuss the role of cesarean section in patients with pelvic fractures. Conclusion: Women with pelvic fractures may possibly deliver vaginally however decision regarding mode of delivery in such patients should be on a case by case basis.
Highlights
Pelvic fractures in women may result in dyspareunia, dysmenorrhea and affect the ability to deliver a child vaginally [1]
These complaints are more frequent in women with residual pelvic fracture displacement [1] [2]
We recently reported a technique to stabilize unstable pelvic fractures with an anterior subcutaneous pelvic fixation (Infix) device [3] [4]
Summary
Pelvic fractures in women may result in dyspareunia, dysmenorrhea and affect the ability to deliver a child vaginally [1]. These complaints are more frequent in women with residual pelvic fracture displacement [1] [2]. The cesarean section rate following a pelvic fracture is more than double the standard norms This results from residual deformity and a lack of knowledge among obstetricians regarding the ability to deliver vaginally after a pelvic fracture. Aim: To present a case of pelvic fracture that delivered vaginally indicating vaginal delivery is possible even after pelvic fractures that are stabilized surgically with minimal or no residual displacement. Conclusion: Women with pelvic fractures may possibly deliver vaginally decision regarding mode of delivery in such patients should be on a case by case basis
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