| Trauma in pregnancy: a systematic approach. | |
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MedLine Citation:
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PMID: 20198552 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Trauma in pregnancy remains one of the major contributors to maternal and fetal morbidity and mortality. Potential complications include maternal injury or death, shock, internal hemorrhage, intrauterine fetal demise, direct fetal injury, abruptio placentae, and uterine rupture. The leading causes of obstetric trauma are motor vehicle accidents, falls, assaults, and gunshots, and ensuing injuries are classified as blunt abdominal trauma, pelvic fractures, or penetrating trauma. Many of the assessment and management aspects of obstetric trauma are unique to pregnancy, although initial evaluation and resuscitation should always be maternally directed. Once maternal stability is established, vigilant evaluation of fetal well-being becomes warranted. Continuous fetal heart monitoring, ultrasonography, computed tomography, open peritoneal lavage, and/or exploratory laparotomy may be indicated in a case of obstetric trauma. In view of the significant impact of trauma on the pregnant woman and her fetus, preventive strategies are paramount. |
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Authors:
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Fadi G Mirza; Patricia C Devine; Sreedhar Gaddipati |
Publication Detail:
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Type: Journal Article; Review Date: 2010-03-02 |
Journal Detail:
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Title: American journal of perinatology Volume: 27 ISSN: 1098-8785 ISO Abbreviation: Am J Perinatol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-11-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 579-86 Citation Subset: IM |
Copyright Information:
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Copyright Thieme Medical Publishers. |
Affiliation:
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Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York 10032, USA. fgm2107@columbia.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Injuries
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therapy Abruptio Placentae / etiology Electric Injuries Female Fetal Monitoring Fractures, Bone / therapy Heart Rate, Fetal Humans Laparotomy Pelvic Bones / injuries Peritoneal Lavage Pregnancy Pregnancy Complications / therapy*, ultrasonography Ultrasonography, Prenatal Uterine Rupture / therapy Wounds and Injuries / therapy*, ultrasonography Wounds, Nonpenetrating / therapy Wounds, Penetrating |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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