An unusual fetal complication of traumatic uterine rupture

Rowe, Thomas; Lafayette, Susan; Cox, Susan

doi:10.1016/0736-4679(95)02110-8

Cited by 15 publications

(10 citation statements)

References 8 publications

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“…Un traumatisme direct foetal complique moins de 1 % de traumatismes abdominaux sévè-res chez la femme enceinte [2]. Le port de la ceinture permettrait de réduire le taux de complications obstétricales de 62 à 27 % [10].…”

Section: Discussionunclassified

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Rupture utérine traumatique: une complication rare des accidents de la voie publique au cours de la grossesse. À propos d'un cas

Vaysse

Mignot

Bénézech

et al. 2007

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Section: Discussionunclassified

“…Les cas de ruptures utérines traumatiques sont rares et concernent moins de 1 % des femmes enceintes impliquées dans un accident grave de la voie publique [2]. Il s'agit d'une urgence obstétricale mettant en jeu le pronostic vital maternel et foetal, imposant une intervention rapide et une prise en charge pluridisciplinaire.…”

Section: Introductionunclassified

Rupture utérine traumatique: une complication rare des accidents de la voie publique au cours de la grossesse. À propos d'un cas

Vaysse

Mignot

Bénézech

et al. 2007

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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“…Maternal deaths involving uterine rupture are due to concurrent injuries. Most reported cases involve the uterine fundus, although other locations and degrees of uterine rupture from other causes have also been reported [22,25,31].…”

Section: Uterine Rupturementioning

confidence: 97%

The pathophysiology of trauma in pregnancy: A review

Weintraub

Leron

Mazor

2006

The Journal of Maternal-Fetal & Neonatal Medicine

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Emergency care of the pregnant patient with trauma presents a unique set of circumstances and challenges to physicians. Pregnancy causes anatomic and physiologic changes involving nearly every organ system in the body, making treatment of the pregnant trauma patient difficult. The other factors that make treatment complex are fear of harming the fetus, upsetting the patient, and/or lack of experience. The possibility of pregnancy should be considered in all women of reproductive age with trauma. A profound understanding of the pathophysiology of the pregnant trauma patient might aid in dealing with this complex problem.

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“…Not only can a pregnant patient tolerate an approximate 30 -35% loss of blood volume before a change in vital signs (both maternal blood pressure and pulse are poor predictors of maternal stability and fetal viability 8 ), the stretched abdominal wall changes the normal pain response from intraperitoneal irritation. 3 In addition to a fetal mortality approaching 100% from traumatic uterine rupture, maternal morbidity can be quite significant as well. Previous series have shown that more than half of women require 5 or more units of blood after uterine rupture, and hysterectomy rates range from 26% to 83% 7 with traumatic rupture resulting in approximately 80% or greater hysterectomy rates.…”

Section: Commentmentioning

confidence: 99%

“…2 Most fetal trauma after uterine rupture includes injuries consistent with blunt trauma such as closed head injury (subdural and subarachnoid hemorrhage), skull fracture, and hepatic or splenic rupture/hemorrhage. 3 We present a case of uterine rupture in the second trimester with subsequent expulsion and complete abdominal transection of the fetus.…”

mentioning

confidence: 98%