Study finds high rate of c-sections after pelvic fractures

Sep 23, 2010
Lisa Cannada, M.D., associate professor of orthopaedic surgery at Saint Louis University, led research finding that women who give birth after suffering pelvic fractures receive C-sections at more than double normal rates despite the fact that vaginal delivery after such injuries is possible. Credit: Chad Williams

In research led by a Saint Louis University surgeon, investigators found that women who give birth after suffering pelvic fractures receive C-sections at more than double normal rates despite the fact that vaginal delivery after such injuries is possible. In addition, women reported lingering, yet often treatable, symptoms following their pelvic fracture injuries, from urinary complications to post-traumatic stress disorder.

The study, published in Clinical Orthopaedics and Related Research, retrospectively reviewed the cases of 71 who had suffered , 26 of whom subsequently had children. Of those 26 women, 10 delivered vaginally and 16 gave birth by C-section.

More than 100,000 patients are treated for pelvic fractures each year in the U.S., most commonly after car accident injuries.

Lisa Cannada, M.D., associate professor of orthopaedic surgery subspecializing in traumatology at Saint Louis University and lead researcher, says the study offers important information women should discuss with their doctors.

"The C-section rate is so high. It's important to educate women and their that it is possible to deliver vaginally after a pelvic fracture," said Cannada, who is also a SLUCare orthopaedic surgeon.

"Frequently, these issues are not addressed when women are first treated for a fracture. In some cases, women are given inaccurate information, such as being told not to become pregnant after a pelvic fracture or that they must have a . This is not the case."

Researchers also found that, in addition to anxiety about future pregnancies, women expressed concern about symptoms related to their injuries and also frequently suffered from urinary symptoms and discomfort during sex.

"We've found that many women worry about whether or not they can have children and what type of delivery will be possible," Cannada said. "Women also worry about pain during sex and urinary issues."

In many cases, Cannada says, women do not realize their symptoms are related to the fracture they suffered. Urinary issues, sexual dysfunction and post-traumatic all can follow a pelvic fracture.

Cannada says it's important for women to know that there are effective treatment options for these issues.

"Take charge," Cannada says. "Don't let a pelvic fracture affect your life or decision to have kids. Talk to your OB/GYN and find out what your best options are."

Study highlights:

• Pelvic fractures should not deter women from having children.
• It is possible to deliver vaginally after a pelvic fracture.
• Many women experience urinary symptoms or painful sex following a pelvic fracture. Women should consult their doctors because effective treatments are available.
• Post-traumatic stress disorder is common after a trauma. It, too, has effective treatments.

Explore further: AbbVie to pay Shire $1.64B fee over nixed merger

Provided by Saint Louis University

not rated yet
add to favorites email to friend print save as pdf

Related Stories

Study shows 1 in 3 women has pelvic floor disorder

Mar 01, 2008

A new study by Kaiser Permanente found that one-third of women suffer from one or more pelvic floor disorders, which include symptoms such as the frequent urge to urinate, dropped pelvic organs, and incontinence. The study, ...

Make or break time for osteoporosis treatment

Mar 10, 2008

Women who do not comply with treatment instructions for osteoporosis or who do not respond to treatment are more likely to suffer further fractures, which seriously affects their quality of life.

Women want answers, but what questions should be asked?

May 03, 2010

One in two women in the United States will have an osteoporosis-related fracture in her lifetime. However, according to a review article published in the May 2010 issue of the Journal of the American Academy of Orthopaedic Su ...

Recommended for you

New MCAT shifts focus, will include humanities

11 hours ago

(HealthDay)—The Medical College Admission Test (MCAT) has been revised, and the latest changes, including more humanities such as social sciences, are due to be implemented next April, according to a report ...

Using feminist theory to understand male rape

22 hours ago

Decades of feminist research have framed rape and sexual assault as a 'women's issue', leaving little room for the experiences of male victims. But a new study published in the Journal of Gender Studies suggests that feminist ...

Simulation-based training improves endoscopy execution

Oct 18, 2014

(HealthDay)—Simulation-based training (SBT) improves clinicians' performance of gastrointestinal endoscopy in both test settings and clinical practice, according to research published in the October issue ...

User comments : 0