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By far the most severe and distressing long-term conditionfollowing obstructed labour is obstetric fistula - a hole which forms in the vaginal wallcommunicating into the bladder (vesico- vaginal fistula) or the rectum (recto-vaginal fistula)or both. In developing countries, fistulae are commonly the result of prolonged obstructedlabour and follow pressure necrosis caused by impaction of the presenting part duringdifficult labour. In the infant, neglected obstructed labour may cause asphyxia leading tostillbirth, brain damage or neonatal death1.
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