Document Detail

Imaging of trauma: Part 2, Abdominal trauma and pregnancy--a radiologist's guide to doing what is best for the mother and baby.
MedLine Citation:
PMID:  23169710     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The pregnant trauma patient requires imaging tests to diagnose maternal injuries and diagnostic tests to evaluate the viability of her pregnancy. This article will discuss abdominal trauma in pregnancy and the specific role of diagnostic imaging. Radiation concerns in pregnancy will be addressed.
CONCLUSION: Trauma is the leading cause of nonobstetric maternal mortality and a significant cause of fetal loss. Both major and minor trauma result in an increased risk of fetal loss. In major trauma, when there is concern for maternal injury, CT is the mainstay of imaging. The risks of radiation to the pregnancy are small compared with the risk of missed or delayed diagnosis of trauma. In minor trauma, when there is no concern for maternal injury but there is concern about the pregnancy, ultrasound is performed but is insensitive in diagnosing placental abruption. External fetal monitoring is used to dictate patient care.
Claudia Sadro; Mark P Bernstein; Kalpana M Kanal
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  199     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-21     Completed Date:  2013-02-20     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1207-19     Citation Subset:  AIM; IM    
Department of Radiology, Harborview Medical Center, 325 Ninth Ave, Seattle, WA 98104-2499, USA.
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MeSH Terms
Abdominal Injuries / diagnosis*
Contrast Media / diagnostic use
Diagnostic Imaging*
Fetal Monitoring
Pregnancy Complications / diagnosis*
Prenatal Injuries / diagnosis*
Radiation Dosage
Radiation Protection
Risk Factors
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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