Medical Verdicts

Did negligence cause bladder injury at cesarean?


New York County (NY) Supreme Court

Due to a prolonged labor, an Ob/Gyn attempted vacuum then forceps delivery on a 35-year-old woman delivering her first child. When both interventions were unsuccessful, the physician opted for a cesarean section and delivered a healthy infant.

During the procedure, the mother suffered multiple bladder perforations, which caused urinary incontinence and sexual dysfunction.

She claimed the doctor was negligent in separating her bladder and uterus with Metzenbaum scissors.

The defense noted that due to adhesions from a prior abdominal cystectomy, the cesarean was especially difficult.

  • The jury returned a defense verdict.
The cases in this column are selected by the editors of OBG Management from Medical Malpractice Verdicts, Settlements & Experts, with permission of the editor, Lewis Laska, of Nashville, Tenn. ( While there are instances when the available information is incomplete, these cases represent the types of clinical situations that typically result in litigation.

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