You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is What is the time duration for developing a vesicovaginal fistula following an obstructed labour? and explain in detail?
With dystocia, the presenting pa is firmly wedged into the pelvic inlet and does not advance for a considerable time. Tissues of the bih canal lying between the leading pa and the pelvic wall may be subjected to excessive pressure. Because of impaired circulation, necrosis may result and become evident several days after delivery as vesicovaginal, vesicocervical, or rectovaginal fistulas. In vesicovaginal fistula, dribbling of urine occurs after varying interval following delivery (5-7 days). Most often, pressure necrosis follows a very prolonged second stage. Ref: Cunningham F.G., Leveno K.J., Bloom S.L., Hauth J.C., Rouse D.J., Spong C.Y. (2010). Chapter 20. Abnormal Labor. In F.G. Cunningham, K.J. Leveno, S.L. Bloom, J.C. Hauth, D.J. Rouse, C.Y. Spong (Eds), Williams Obstetrics, 23e.