Vaginal Delivery after Pelvic Fracture Fixation with a Subcutaneous Anterior Fixator with Review of Literature of Delivery Mode in Pelvic Injuries ()
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.
Share and Cite:
Sethi, A. , Vaidya, R. , Schneider, S. , Fleming, J. and Oliphant, B. (2014) Vaginal Delivery after Pelvic Fracture Fixation with a Subcutaneous Anterior Fixator with Review of Literature of Delivery Mode in Pelvic Injuries.
Open Journal of Obstetrics and Gynecology,
4, 836-839. doi:
10.4236/ojog.2014.414117.