Trauma in Pregnancy
All women between the ages of 10 and 50 are considered to be of child-bearing age and should have a pregnancy detection test as part of the trauma resuscitation.
Good understanding of the alterations in the physiology and anatomy of a pregnant woman is critical during trauma resuscitation.
Initial assessment and resuscitation in pregnant patients is similar to resuscitation in non-pregnant patients.
The foetus is physiologically dependant on the mother and is likely to have a more favourable outcome, if resuscitation is focussed on restoring normal physiological status in the mother.
Managing trauma in pregnancy should involve a multidisciplinary team approach including the emergency physician, trauma surgeon, obstetrician and anaesthetist.
KeywordsInjury Severity Score Uterine Rupture Blunt Abdominal Trauma Foetal Mortality Gravid Uterus
- 8.Rudra A, Ray A, Chatterjee S, et al. Trauma in pregnancy. Indian J Anaesth. 2007;51(2):100–5.Google Scholar
- 9.American College of Surgeons Committee on Trauma. Advanced trauma life support program for doctors. 9th ed. Chicago: American College of Surgeons; 2010.Google Scholar
- 15.Guidelines for diagnostic imaging during pregnancy. ACOG committee opinion no. 299. Obstet Gynecol. 2004;104:647–51.Google Scholar
- 17.Roemer et al. Trauma in the obstetric patient: a bedside tool. Available from: http://www.acep.org.