Or, it is "I'm 17, my husband is 55, he's raped me as is his right in our society, and I'm pregnant. I have no access to any kind of birth control, and abortion is forbidden by both the government & my religion."

The woman I'm describing is doomed to suffer through childbirth, probably long & unmedicated. And she has a high likelihood of developing fistula.

Fistula is almost unheard of in the developed world, thanks to the inventions of modern medicine. Instead, it is an insidious condition primarily limited to areas where healthcare is primitive.