Part IV MATERNAL COMPLICATIONS Chapter 36 Clinical Aspects of Normal and Abnormal Labor John M. ThorpJr.

r., MD Normal Labor and Its Limits The proper management of labor and delivery depends on a thorough understanding of the biology of normal labor. Given the inherent limitations in our knowledge of human labor, the astute clinician must take care to not draw firm conclusions and be willing to change his or her practice. Moreover, effective recognition and management of labor abnormalities requires knowledge of the limits of labor and of the physiologic response of both the mother and the fetus to the stresses of labor and delivery. Uterine contractions occur throughout normal pregnancy. These contractions are irregular in timing and intensity, discoordinate in distribution, and, for the most part, entirely painless. Such uterine activity continues in normal pregnancy until late in the third trimester, when the contractions become more frequent, of greater and more consistent intensity, and more

A case of acute urinary retention after cesarean section caused by herpes zoster infection
PDF (Size:261KB) PP. 202-205 DOI: 10.4236/ojog.2012.23040 Author(s)
Atsushi Yoshida, Kenji Ishii, Keiko Saito, Isao Azuma

KEYWORDS
Anesthesia; Cesarean Section; Herpes Zoster; Postpartum; Urinary Retention

Cite this paper

Yoshida, A. , Ishii, K. , Saito, K. and Azuma, I. (2012) A case of acute urinary retention after cesarean section caused by herpes zoster infection. Open Journal of Obstetrics and Gynecology, 2, 202-205. doi: 10.4236/ojog.2012.23040.

ABSTRACT
We experienced a case of acute urinary retention after an elective cesarean section. In this case, an epidural catheter was inserted for the postoperative pain relief, and we had to rule out anesthetic complications including epidural hematoma. After careful investigation, sacral herpes zoster was found to be responsible for urinary retention. Early administration of antiviral agent was started and the outcome was good. As various factors may lead to postpartum urinary disorders, we should be careful not to miss serious complications.

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