Management of pelvic injuries in pregnancy

Orthop Clin North Am. 2013 Jul;44(3):301-15, viii. doi: 10.1016/j.ocl.2013.03.005. Epub 2013 May 10.

Abstract

Pelvic fractures in pregnant women are usually high-energy injuries associated with risk of mortality to both mother and fetus. The mother's life always takes priority in the acute setting as it offers the best chance of survival to both the mother and the fetus. Indications for operative intervention of acute pubic symphysis rupture depend on presence of an open disruption, amount of displacement, and degree of disability. Chronic symphyseal instability related to pregnancy is a challenging problem and the first line of treatment is nonoperative care. A previous pelvic fracture is not a contraindication by itself to vaginal delivery.

Keywords: Acetabular fracture; Pelvic fracture; Pelvic instability; Pregnancy; Pubic symphysis rupture.

Publication types

  • Review

MeSH terms

  • Accidents, Traffic
  • Acetabulum / injuries
  • Cesarean Section
  • Female
  • Fetal Monitoring
  • Fractures, Bone / surgery*
  • Hemodynamics
  • Humans
  • Intraoperative Period
  • Pelvic Bones / diagnostic imaging
  • Pelvic Bones / injuries*
  • Pregnancy
  • Pregnancy Complications / surgery*
  • Pubic Symphysis / diagnostic imaging
  • Pubic Symphysis / injuries*
  • Radiography
  • Resuscitation
  • Rupture