We present a case of traumatic VVF, RVF and neuropathy of the lower limbs following shoulder dystocia and a difficult prolonged second stage delivery. Severe morbidity following poor obstetric interventions is frequently encountered in our environment. Had Mrs. I. P. the benefit of symphysiotomy, she may not have suffered the burden of such severe morbidity. The need for the training of health service providers to perform symphysiotomy, in the present setting where the material resources for caesarian section and optimum care is lacking, is emphasized.

Keywords: Symphysiotomy, shoulder dystocia