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Management of maternofetal emergency in shock with fracture of femur.
MedLine Citation:
PMID:  22022657     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Trauma is the leading nonobstetric cause of maternal death. The worst complication can be fetal compromise that threatens premature labor or even fetal death. We are reporting a case of a 30-year-old primi, short stature woman who had fracture femur with hypovolaemic shock. Managing such trauma complicated by shock in a pregnant patient needs multidisciplinary approach. Clinician team evaluating and coordinating the care of pregnant trauma patient should understand the pathophysiological changes in pregnancy with trauma to manage hypovolaemic shock, related complications, treatment of fracture, and radiation exposure to the fetus. The use of imaging studies, invasive hemodynamics and surgery, if necessary, should be individualized. A clear understanding of fetal viability, physiological changes of pregnancy, and pathophysiology of shock, is mandatory for optimal, maternal functional, and obstetrical outcome.
Authors:
Pradeep K Singh; Deepti Shrivastva; Snigdha Paddalwar; Nagraj Shetty; Vipin Raut; Sarthak Patnaik; Abhishek Yadav
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of surgical technique and case report     Volume:  3     ISSN:  0976-2825     ISO Abbreviation:  J Surg Tech Case Rep     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-10-24     Completed Date:  2011-11-10     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101540507     Medline TA:  J Surg Tech Case Rep     Country:  India    
Other Details:
Languages:  eng     Pagination:  52-5     Citation Subset:  -    
Affiliation:
Department of Orthopaedics and Trauma, DMIMS, Wardha, India.
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