The pregnant woman is at risk of trauma throughout pregnancy, the most common causes being motor vehicle accidents, falls and physical abuse. Trauma complicates about 6 to 7% of pregnancies, and 0.3 to 0.4% of pregnant women sustain traumatic injuries sufficient to require hospitalisation [1]. The most common cause of traumatic maternal death is head injury and foetal demise usually occurs secondary to maternal hypotension or placental abruption. A review of pregnant women admitted to three Level 1 trauma centres revealed a maternal mortality of 3%, and a foetus death of 15% [1]. Care of the severely injured pregnant patient requires a multidisciplinary approach involving the emergency physician, trauma surgeon, obstetrician, intensivist and neonatologist.


Functional Residual Capacity Motor Vehicle Accident Blunt Abdominal Trauma Placental Abruption Uterine Blood Flow 
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Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • S. E. Lapinsky
    • 1
  1. 1.Intensive Care and Division of RespirologyMount Sinai HospitalTorontoCanada

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