Trauma in Pregnancy: A Comprehensive Approach to the Mother and Fetus

MacArthur, Brian C.; Foley, Michael R.; Gray, Kendra; Sisley, Amy C.

doi:10.1016/j.ajog.2019.01.209

Cited by 16 publications

(14 citation statements)

References 12 publications

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“…It should also be considered following minor trauma, especially later in pregnancy [6,20]. It is the most common cause of fetal death with maternal survival following blunt trauma [6,[8][9][10]13,[15][16][17][18]. Fetal mortality rate following PA can reach up to 75%…”

Section: Placental Abruptionmentioning

confidence: 99%

“…Fetal monitoring using cardiotocography (CTG) is the most available technique in detecting PA with a negative predictive value (NPV) of 100% [4,6,10,12,13,16,21]. Fetal distress is predictive of PA in 60% of all cases [19].…”

Section: Placental Abruptionmentioning

confidence: 99%

“…On the other hand, fetal wellbeing depends on maternal wellbeing and most interventions to help the mother will simultaneously benefi t the fetus. [2,8,[12][13][14]16,18,20] Interventions for fetal benefi t should only be performed after maternal stabilisation [2,6,9,26]. Re-evaluation of the patient is essential to immediately detect subtle deteriorations [16].…”

Section: Primary Surveymentioning

confidence: 99%

“…to the nonpregnant patient, radiologic examinations should be conducted as indicated [2,4,5,6,[8][9][10]12,14,16,17,20,19,22]. Fifty milligrays is considered the threshold at which there is an increased risk for the occurrence of fetal malformation, but this radiation dose is not reached with common radiologic examinations [1,4,10,18,20,19,22,28].…”

Section: Similarmentioning

confidence: 99%

“…Continuous CTG is indicated to rapidly detect changes [2,5,6,[8][9][10][11][12][13]15,16,17,[19][20][21]26]. Fetal heart rate (FHR) monitoring is a good indicator of fetal wellbeing, and acts as a supplemental maternal vital sign [2,6,11,17,20].…”

Section: Similarmentioning

confidence: 99%

See 4 more Smart Citations

Management of the pregnant trauma patient: A literature study

Argent¹,

Verelst²,

Sabbé³

2020

Open J Trauma

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Background Trauma complicates approximately 7 % of pregnancies and is thereby the leading cause of non-obstetric morbidity and mortality during pregnancy [1-10]. The risk of traumatic injury increases with the advancement of pregnancy [4,8,10,11]. Pregnancy as such does not increase morbidity or mortality following trauma but leads to different mechanisms and patterns of injury with an increased vulnerability to abdominal injury [4,6,10,12]. One needs to bear in mind that trauma affects both mother and unborn child, with the latter having a higher mortality rate [4,13]. The spectrum of trauma severity is broad. Severe trauma often leads to fetal loss but minor trauma is responsible for the majority (60-70%) of fetal deaths due to its higher prevalence [2,4,10,12,14]. However, the likelihood of adverse fetal outcome is often unpredictable and does not correlate with the degree of trauma [4,15,16].

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