Trauma in pregnancy: Diagnosis and management of two patients in one

Wyant, Andrew R.; Collett, DeShana

doi:10.1097/01720610-201305000-00005

Cited by 4 publications

(17 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Placental abruption (PA) is a major obstetrical complication following trauma, especially MVA [7,12,26]. The prevalence varies widely but can reach up to 50% [6][7][8][9][10]12,14,15]. It should also be considered following minor trauma, especially later in pregnancy [6,20].…”

Section: Placental Abruptionmentioning

confidence: 99%

“…and increased risk of stillbirth may be due to undetected or delayed PA [15,20]. Preterm labour, urgent caesarean delivery, diffuse intravascular coagulation (DIC), haemorrhage and isoimmunisation are possible consequences of PA besides fetal death [1,4,6,7,10,13,15,17,20].…”

Section: Placental Abruptionmentioning

confidence: 99%

“…PA is primarily a clinical diagnosis, based on suspicion [6,17,20,26]. Signs may be abdominal pain, vaginal bleeding or leakage of amniotic fl uid, back pain, uterine tenderness with regular uterine contractions and contraction severity being out of proportion to cervical dilatation, a large uterus, or maternal hypovolemia [2,4,6,7,[9][10][11]15,[17][18][19][20]. The amount of vaginal bleeding does not indicate the severity of PA as the uterine cavity can accommodate the entire blood volume [15,20].…”

Section: Placental Abruptionmentioning

confidence: 99%

“…Ultrasound may also help diagnosing PA since its positive predictive value is high, although its NPV is low [1,2,4,6,7,10,11,14,15,[17][18][19][20][21]26]. It may show a retro-or preplacental haematoma, increased placental thickness, or a subchorionic or marginal collection.…”

Section: Placental Abruptionmentioning

confidence: 99%

“…The most common causes are Motor Vehicle Accidents (MVA), falls, assaults and burns with the order depending on the world region and the rate of intimate partner violence [1,2,[4][5][6][7][8][9][10]13]. Blunt trauma is more prevalent than penetrating trauma [5,7,9].…”

mentioning

confidence: 99%

See 4 more Smart Citations

Management of the pregnant trauma patient: A literature study

Argent¹,

Verelst²,

Sabbé³

2020

Open J Trauma

View full text Add to dashboard Cite

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].

show abstract

Section: Placental Abruptionmentioning

confidence: 99%

Section: Placental Abruptionmentioning

confidence: 99%

Section: Placental Abruptionmentioning

confidence: 99%

Section: Placental Abruptionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Management of the pregnant trauma patient: A literature study

Argent¹,

Verelst²,

Sabbé³

2020

Open J Trauma

View full text Add to dashboard Cite

show abstract

Trauma in pregnancy: A narrative review of the current literature

April,

Long

2024

The American Journal of Emergency Medicine

View full text Add to dashboard Cite

Treatment of Central Serous Chorioretinopathy (Csc) Using Diclofenac through Different Routes of Administration, a Comparative Study

Khan¹,

Khan²,

Khan³

et al. 2017

AOVS

View full text Add to dashboard Cite

Purpose: To evaluate the effect of diclofenac nonsteroidal antiinflammatory drug (NSAID) in the treatment of acute central serous chorioretinopathy (CSC) by different routes of administration and compare the results with control patients. Introduction:Central serous chorioretinopathy (CSC) is an idiopathic disorder characterized by a serous detachment of the neurosensory retina at the macula, which is caused by active retinal pigment epithelial (RPE) leakage. Although the exact pathophysiology of CSC has not been clearly elucidated, the primary abnormality leading to RPE disruption and leakage is thought to be increased choroidal permeability. Studies using different imaging techniques have revealed the possible causes of abnormal permeability of the inner choroid. Ischemia and inflammation might lead to exudative changes within the choroid and the subsequent changes at the RPE. Topical diclofenac, ketorolac, nepafenac and bromfenac all belong to the NSAIDs class of medications. As an anti-inflammatory class, they function by inhibiting the enzyme cyclooxygenase, which blocks the synthesis of prostaglandins. A reduction in prostaglandin formation results a decrease in inflammation. It appears that the principle pathway involved in pain and inflammation is the COX-2 pathway where nonsteroidal anti-inflammatory drugs (NSAIDs) seems to play a significant role.

show abstract

Trauma in pregnancy: Diagnosis and management of two patients in one

Cited by 4 publications

References 19 publications

Management of the pregnant trauma patient: A literature study

Management of the pregnant trauma patient: A literature study

Trauma in pregnancy: A narrative review of the current literature

Treatment of Central Serous Chorioretinopathy (Csc) Using Diclofenac through Different Routes of Administration, a Comparative Study

Contact Info

Product

Resources

About