Document Detail


Management of trauma during pregnancy.
MedLine Citation:
PMID:  14996158     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Pregnancy may confuse the management of a trauma patient. The present retrospective review was conducted in order to develop guidelines for the management of such a patient. METHODS: A retrospective review of case notes was undertaken using a trauma database to evaluate the management of pregnant trauma patients. A review of the English language literature was also carried out. RESULTS: Between July of 1994 and July of 2002, 34/25 206 (0.13%) of patients on the database were pregnant at the time of injury. The vast majority (27/34; 79%) suffered no obstetric complication. Obstetric complications included four pregnancies complicated by preterm labour but not preterm delivery, one placental abruption and one second trimester pregnancy loss. There was one maternal death with an 8 week gestation fetus viable at time of maternal death and one fetal death with maternal survival. CONCLUSION: The findings are in keeping with those of other published series. Priority in the management of a pregnant patient who has sustained major trauma must always be maternal stabilization. After stabilization, an assessment of obstetric complications should be a part of the secondary survey. Fetal heart rate monitoring should be used to assess the fetus in pregnancies > or =22 weeks gestation. Active intervention, such as Caesarian section, can be considered if fetal compromise is found.
Authors:
Michael W Warner; Stuart G Salfinger; Sudhakar Rao; Everett F Magann; John C Hall
Related Documents :
3688598 - Fetal death in motor vehicle accidents.
7426508 - Antepartum fetal heart rate monitoring in multiple pregnancy.
2869218 - Maternal mortality in jamaica.
3374978 - Recurrent multiple chorioangiomas and intrauterine death.
10830758 - Fetal oxygen saturation during epidural and paracervical analgesia.
20002098 - Positron emission tomography imaging of tissue p-glycoprotein activity during pregnancy...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  74     ISSN:  1445-1433     ISO Abbreviation:  ANZ J Surg     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-03     Completed Date:  2004-07-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  125-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Western Australia, Perth, Western Australia, Australia. mtwarner@ozemail.com.au
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiotocography
Female
Humans
Injury Severity Score
Practice Guidelines as Topic
Pregnancy
Pregnancy Complications / diagnosis*,  therapy*
Pregnancy Outcome
Retrospective Studies
Ultrasonography, Prenatal
Wounds and Injuries / diagnosis*,  therapy*

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


Previous Document:  Anal sphincter function and integrity after primary repair of third-degree tear: uncontrolled prospe...
Next Document:  Diabetes and the outcome of infrainguinal bypass for critical limb ischaemia.