Document Detail


Trauma in pregnancy.
MedLine Citation:
PMID:  20393413     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the United States, trauma is the leading nonobstetric cause of maternal death. The principal causes of trauma in pregnancy include motor vehicle accidents, falls, assaults, homicides, domestic violence, and penetrating wounds. The managing team evaluating and coordinating the care of the pregnant trauma patient should be multidisciplinary so that it is able to understand the physiologic changes in pregnancy. Blunt trauma to the abdomen increases the risk of placental abruption. Evaluation of the pregnant trauma patient requires a primary and secondary survey with emphasis on airway, breathing, circulation, and disability. The use of imaging studies, invasive hemodynamics, critical care medications, and surgery, if necessary, should be individualized and guided by a coordinating team effort to improve maternal and fetal conditions. A clear understanding of gestational age and fetal viability should be documented in the record.
Authors:
Corrina M Oxford; Jonathan Ludmir
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical obstetrics and gynecology     Volume:  52     ISSN:  1532-5520     ISO Abbreviation:  Clin Obstet Gynecol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-04-15     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0070014     Medline TA:  Clin Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  611-29     Citation Subset:  IM    
Affiliation:
Brigham and Women's Hospital, Harvard School of Medicine, Boston, Massachusetts 02115, USA. coxford@partners.org
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MeSH Terms
Descriptor/Qualifier:
Abruptio Placentae / diagnosis
Delivery, Obstetric
Diagnostic Imaging
Female
Fetal Death / etiology
Fetal Monitoring
Fetomaternal Transfusion / diagnosis
Hemodynamics
Humans
Intubation, Intratracheal
Monitoring, Physiologic
Neurologic Examination
Obstetric Labor, Premature
Pregnancy
Pregnancy Complications / diagnosis*,  etiology,  therapy*
Pregnancy Outcome
Prenatal Injuries / diagnosis,  therapy
Respiration
Respiration, Artificial
Risk Factors
Shock / diagnosis,  prevention & control
Vasoconstrictor Agents / therapeutic use
Wounds and Injuries / diagnosis*,  etiology,  therapy*
Chemical
Reg. No./Substance:
0/Vasoconstrictor Agents

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


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