Penetrating wounds of the gravid uterus

Wright, Craig; Posner, A; Gilchrist, J. D. F.

doi:10.1016/0002-9378(54)90267-7

Cited by 11 publications

References 10 publications

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Trauma During Pregnancy

Esposito

Gens²,

Smith³

et al. 1991

Arch Surg

134

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Few studies provide data on pregnant trauma patients that can be used to direct management decisions. Therefore, this retrospective study of 79 pregnant patients who were injured and admitted to a trauma center during a 9-year period was conducted to obtain such information. Maternal mortality for these pregnant patients was 10%, which was not different from that for nonpregnant females. Overall, rate of fetal loss was 34%. Rates of fetal loss were not different in patients with and without evidence of shock and/or hypoxia or in restrained and unrestrained automobile occupants. Diagnostic peritoneal lavage proved to be 95% accurate and safe. Based on these findings, we concluded the following: pregnancy does not increase maternal mortality from trauma. Blood pressure, pulse rate, and PO2 are unreliable indicators of adequate maternal resuscitation and fetal well-being. Assumption of maternal and fetal stability based solely on these usually standard criteria is unwise. Use of seat belts during pregnancy is advisable in the absence of evidence that restraints increase the rate of fetal loss.

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Trauma During Pregnancy

Esposito

Gens²,

Smith³

et al. 1991

Arch Surg

134

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Trauma in pregnancy

Vaizey

Jacobson²,

Cross

1994

Journal of British Surgery

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Trauma is a major cause of maternal death in pregnancy. The pregnant woman who has been involved in an episode leading to her arrival in an accident and emergency department presents with specific problems that often require specialist attention. The correct initial management of such patients should not be beyond the capabilities of an average trauma team and such management is clearly taught as part of the Advanced Trauma Life Support course now available in the UK. This review outlines the physiological changes associated with pregnancy that become important during resuscitation and definitive care. It discusses the presentation and management of specific problems, and the safety--or otherwise--of commonly administered drugs. Only the initial resuscitation of the patient is considered; specialist obstetric care is beyond the scope of the article.

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Abdominal Trauma

Augustin¹

2014

Acute Abdomen During Pregnancy

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Penetrating wounds of the gravid uterus

Cited by 11 publications

References 10 publications

Trauma During Pregnancy

Trauma During Pregnancy

Trauma in pregnancy

Abdominal Trauma

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