Case of the Week: Difficult Delivery

Case Presentation:

A 23 year old woman calls 911 for abdominal pain.  She is pregnant and her due date is tomorrow. This is her fourth pregnancy and she has had three prior vaginal deliveries.  This pregnancy has been uncomplicated. She has not had any vaginal bleeding or leakage of fluid and she can feel fetal movement.  She began having contractions 1 hour ago, but things became “intense” about 30 minutes ago, so she called 911.

Instructors

Eli Carrillo, M.D.
Stanford Emergency Medicine