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.


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