Rebecca L. Skovgaard received a master of science degree in nurse-midwifery from Georgetown University in 1988 and, subsequently, was on the faculty of the Georgetown University Nurse-Midwifery Program.
Abrupt Onset of Severe Pain at Term: A Case Report
Article first published online: 31 DEC 2010
1997 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 42, Issue 1, pages 35–42, January-February 1997
How to Cite
Skovgaard, R. L., Christenson, C. S., McClard, M. M., Spoor-Sandefur, C. D. and Kedley, K. E. (1997), Abrupt Onset of Severe Pain at Term: A Case Report. Journal of Nurse-Midwifery, 42: 35–42. doi: 10.1016/S0091-2182(96)00106-1
- Issue published online: 31 DEC 2010
- Article first published online: 31 DEC 2010
This case report involves an adolescent primigravida at term who was admitted with urinary complaints to the labor and delivery unit of a medical center. Within an hour, she suddenly began screaming and complaining of severe pain running from her anterior pelvis through her vagina and up her spine. Three days of very challenging comanagement of the patient, with several recurrences of acute pain, followed. Differential diagnoses that could explain this patient's symptoms are reviewed and discussed. Difficult management issues, including the stress of clinical management in the face of unidentified disease processes, are addressed. Lacking a certain diagnosis even retrospectively, the authors request comments from readers.