Trauma and Considerations Unique to Pregnancy

Christy Pearce; Stephanie R Martin

doi:10.1016/j.ogc.2016.07.008

Trauma and Considerations Unique to Pregnancy

Obstet Gynecol Clin North Am. 2016 Dec;43(4):791-808. doi: 10.1016/j.ogc.2016.07.008.

Authors

Christy Pearce¹, Stephanie R Martin²

Affiliations

¹ Southern Colorado Maternal Fetal Medicine, Colorado Springs, CO, USA; Outreach Services, Centura South State, Colorado Springs, CO, USA. Electronic address: cpearce@southerncoloradomfm.com.
² Southern Colorado Maternal Fetal Medicine, Colorado Springs, CO, USA; Maternal Fetal Medicine Services, Centura South State, Colorado Springs, CO, USA.

PMID: 27816161
DOI: 10.1016/j.ogc.2016.07.008

Abstract

Trauma complicates 6% to 7% of all pregnancies and requires multidisciplinary education and training for both trauma and obstetric teams to achieve the best outcome. It is important to understand the mechanisms of certain adverse maternal and fetal/neonatal outcomes incurred as a result of trauma, as well as caveats to pregnancy physiology that make some injuries more likely and detection of maternal compromise more difficult. This article focuses on these caveats and how to incorporate these into ongoing trauma protocols and offers suggestions for the formation of obstetric trauma response team.

Keywords: Physiology; Pregnancy; Protocol; Trauma.

Publication types

Review

MeSH terms

Clinical Protocols*
Female
Humans
Patient Care Management / methods*
Patient Care Team
Pregnancy
Pregnancy Complications* / diagnosis
Pregnancy Complications* / physiopathology
Pregnancy Complications* / therapy
Pregnancy Outcome
Trauma Severity Indices
Wounds and Injuries* / diagnosis
Wounds and Injuries* / physiopathology
Wounds and Injuries* / therapy