Document Detail


A prospective controlled study of outcome after trauma during pregnancy.
MedLine Citation:
PMID:  2360584     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a prospective cohort study, 85 women who suffered varying degrees of trauma during pregnancy (12 to 41 weeks) were compared with a control group of pregnant women matched for gestational age. Fetomaternal transfusion occurred significantly more frequently in the study group (30.6% vs 8.2%, p less than 0.05). Study subjects whose placentas were anteriorly placed were at increased risk for fetomaternal transfusion on comparison with other placental positions (47% vs 23.5%, p less than 0.05). Immediate adverse outcomes including abruptio placentae occurred frequently in the study group (9.4%) and were not predictable on the basis of injury severity. When immediate adverse outcomes were excluded, there was no difference in pregnancy outcome. Four hours of cardiotocographic monitoring used as a screening tool was found to be an extremely sensitive but nonspecific indicator of immediate adverse outcomes. On the basis of these findings, it is recommended that routine screening for fetomaternal transfusion occur in all pregnant women who suffer trauma during pregnancy beyond 11 weeks' gestation and that a minimum of 4 hours of cardiotocographic monitoring occur in women greater than 20 weeks' gestation.
Authors:
M D Pearlman; J E Tintinallli; R P Lorenz
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  162     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-08-02     Completed Date:  1990-08-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1502-7; discussion 1507-10     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, William Beaumont Hospital, Royal Oak, Michigan.
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MeSH Terms
Descriptor/Qualifier:
Abruptio Placentae / diagnosis,  etiology
Adolescent
Adult
Female
Fetal Membranes, Premature Rupture / etiology
Fetomaternal Transfusion / etiology
Humans
Pregnancy
Pregnancy Complications*
Pregnancy Outcome / epidemiology*
Prospective Studies
Wounds and Injuries / complications*

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


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