Document Detail

Evaluation of blunt abdominal trauma in the third trimester of pregnancy: maternal and fetal considerations.
MedLine Citation:
PMID:  2296418     Owner:  NLM     Status:  MEDLINE    
With the active life-style of today's pregnant women, the effects of trauma have become an important obstetric concern. A protocol was developed to monitor pregnancies complicated by major blunt abdominal trauma in the third trimester, looking specifically for delayed placental and/or fetal problems. Of the 84 pregnancies studied, the most serious complication was placental abruption. Although abruption occurred in only two cases, one case was associated with a ruptured uterus and fetal death. There were no cases of delayed abruption or delayed fetal compromise. The most common complication was preterm labor, occurring in 28% of cases when the traumatic insult happened before 37 weeks' gestation. Of these 17 patients, 15 were successfully treated with tocolysis. There were no cases of direct fetal injury or Rh-isoimmunization. A revised protocol is recommended for limited outpatient observation with nonstress testing and screening ultrasonography to rule out preterm labor and placental abruption and to document fetal well-being.
J K Williams; L McClain; A S Rosemurgy; N M Colorado
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  75     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-02-21     Completed Date:  1990-02-21     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  33-7     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa.
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MeSH Terms
Abdominal Injuries / complications*
Abruptio Placentae / etiology
Fetal Monitoring
Obstetric Labor, Premature
Pregnancy Complications*
Pregnancy Outcome
Pregnancy Trimester, Third
Retrospective Studies
Wounds, Nonpenetrating / complications*

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