Vaginal Delivery after Pelvic Fracture Fixation with a Subcutaneous Anterior Fixator with Review of Literature of Delivery Mode in Pelvic Injuries

نویسندگان

  • Anil Sethi
  • Rahul Vaidya
  • Sarah Schneider
  • Jennifer Fleming
  • Bryant W. Oliphant
چکیده

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.

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تاریخ انتشار 2014