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N Engl J Med. 2012 Nov 8;367(19):1839-45. doi: 10.1056/NEJMcpc1209508.

Case records of the Massachusetts General Hospital: Case 34-2012: a 27-year-old woman in Ethiopia with severe pain, bleeding, and shock during labor.

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  • 1Department of Obstetrics and Gynecology, Gondar College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.


A 27-year-old woman was admitted to a hospital in Ethiopia because of severe abdominal pain during labor, with cessation of contractions. She had been in labor at home, pushing for 24 hours. On arrival at the hospital 3 hours later, she was in shock. A procedure was performed.

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