Document Detail


Trauma in pregnancy.
MedLine Citation:
PMID:  17921015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Trauma is the leading nonobstetric cause of maternal mortality. The basic tenets of trauma evaluation and resuscitation should be applied in maternal trauma. Aggressive resuscitation of the mother is the best management for the fetus. Care must be taken to keep the patient in the left lateral decubitus position to avoid compression of the inferior vena cava and resultant hypotension. Radiographic studies should be used with care. Noninvasive diagnostics should be used when available. Cardiotocographic monitoring of a viable gestation should be initiated as soon as possible in the emergency department to evaluate fetal well-being. Urgent cesarean section should be considered if fetal distress is present or if the presence of the fetus is contributing to maternal instability.
Authors:
Michael V Muench; Joseph C Canterino
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology clinics of North America     Volume:  34     ISSN:  0889-8545     ISO Abbreviation:  Obstet. Gynecol. Clin. North Am.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-08     Completed Date:  2008-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8709551     Medline TA:  Obstet Gynecol Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  555-83, xiii     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson School of Medicine, 125 Paterson Street, New Brunswick, NJ 08901, USA. mvmuench@comcast.net
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MeSH Terms
Descriptor/Qualifier:
Cesarean Section
Emergency Medical Services
Female
Humans
Pregnancy
Pregnancy Complications / etiology,  physiopathology*,  therapy*
Wounds and Injuries / etiology,  physiopathology*,  therapy*

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


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