| Practice management guidelines for the diagnosis and management of injury in the pregnant patient: the EAST Practice Management Guidelines Work Group. | |
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MedLine Citation:
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PMID: 20622592 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Trauma during pregnancy has presented very unique challenges over the centuries. From the first report of Ambrose Pare of a gunshot wound to the uterus in the 1600s to the present, there have existed controversies and inconsistencies in diagnosis, management, prognostics, and outcome. Anxiety is heightened by the addition of another, smaller patient. Trauma affects 7% of all pregnancies and requires admission in 4 of 1000 pregnancies. The incidence increases with advancing gestational age. Just over half of trauma during pregnancy occurs in the third trimester. Motor vehicle crashes comprise 50% of these traumas, and falls and assaults account for 22% each. These data were considered to be underestimates because many injured pregnant patients are not seen at trauma centers. Trauma during pregnancy is the leading cause of nonobstetric death and has an overall 6% to 7% maternal mortality. Fetal mortality has been quoted as high as 61% in major trauma and 80% if maternal shock is present. The anatomy and physiology of pregnancy make diagnosis and treatment difficult. |
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Authors:
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Robert D Barraco; William C Chiu; Thomas V Clancy; John J Como; James B Ebert; L Wayne Hess; William S Hoff; Michele R Holevar; J Gerald Quirk; Bruce J Simon; Patrice M Weiss; |
Publication Detail:
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Type: Journal Article; Practice Guideline |
Journal Detail:
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Title: The Journal of trauma Volume: 69 ISSN: 1529-8809 ISO Abbreviation: J Trauma Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-12 Completed Date: 2010-08-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 211-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cesarean Section Female Gestational Age Humans Pregnancy Pregnancy Complications / diagnosis*, therapy Wounds and Injuries / complications, diagnosis*, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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