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Part IV MATERNAL COMPLICATIONS

Chapter 36 Clinical Aspects of Normal and Abnormal Labor

John M. ThorpJr., MD

Normal Labor and Its Limits

The proper management of labor and delivery depends on a thoroughunderstanding of the biology of normal labor. Given the inherent limitations in ourknowledge of human labor, the astute clinician must take care to not draw firmconclusions and be willing to change his or her practice. Moreover, effectiverecognition and management of labor abnormalities requires knowledge of thelimits of labor and of the physiologic response of both the mother and the fetus tothe stresses of labor and delivery.

Uterine contractions occur throughout normal pregnancy. These contractions areirregular in timing and intensity, discoordinate in distribution, and, for the mostpart, entirely painless. Such uterine activity continues in normal pregnancy untillate in the third trimester, when the contractions become more frequent, ofgreater and more consistent intensity, and more

A case of acute urinary retention after

cesarean section caused by herpes zoster

infectionPDF(Size:261KB) PP. 202-205 DOI: 10.4236/ojog.2012.23040

Author(s)

Atsushi Yoshida, Kenji Ishii, Keiko Saito, Isao AzumaKEYWORDS

Anesthesia; Cesarean Section; Herpes Zoster; Postpartum; Urinary

Retention

Cite this paper

http://www.scirp.org/journal/PaperDownload.aspx?paperID=22257&returnUrl=http://www.scirp.org/journal/PaperInformation.aspx?paperID=22257http://www.scirp.org/journal/PaperDownload.aspx?paperID=22257&returnUrl=http://www.scirp.org/journal/PaperInformation.aspx?paperID=22257http://www.scirp.org/journal/PaperDownload.aspx?paperID=22257&returnUrl=http://www.scirp.org/journal/PaperInformation.aspx?paperID=22257

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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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