Obstetric complications may result from burn scarring in the genital a
rea. Women in developing countries typically squat around cooking fire
s, and burns are common. This recent case in Nepal describes obstructe
d labor in a young woman whose genital area had extensive scarring fro
m a cooking fire injury. Proper antenatal assessment by health care pr
oviders can reduce the risk to mothers and infants of the consequences
of a birth canal damaged or obstructed by burn scarring.