TITLE:
Vaginal Delivery after Pelvic Fracture Fixation with a Subcutaneous Anterior Fixator with Review of Literature of Delivery Mode in Pelvic Injuries
AUTHORS:
Anil Sethi, Rahul Vaidya, Sarah Schneider, Jennifer Fleming, Bryant W. Oliphant
KEYWORDS:
Pelvic Fracture, Infix, Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.14,
September
29,
2014
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.