Trauma in Pregnancy

Jeffrey Sakamoto; Collin Michels; Bryn Eisfelder; Nikita Joshi

doi:10.1016/j.emc.2019.01.009

Trauma in Pregnancy

Emerg Med Clin North Am. 2019 May;37(2):317-338. doi: 10.1016/j.emc.2019.01.009. Epub 2019 Mar 8.

Authors

Jeffrey Sakamoto¹, Collin Michels¹, Bryn Eisfelder¹, Nikita Joshi²

Affiliations

¹ Department of Emergency Medicine, Stanford University, 900 Welch Road, Suite 350, Palo Alto, CA 94304, USA.
² Alameda Health Systems, 490 Grand Avenue, Oakland, CA 94610, USA. Electronic address: njoshi8@gmail.com.

PMID: 30940375
DOI: 10.1016/j.emc.2019.01.009

Abstract

Although trauma in pregnancy is rare, it is one of the most common causes of morbidity and mortality to pregnant women and fetus. Pathophysiology of trauma is generally time sensitive, and this is still true in pregnant patients, with the additional challenge of rare presentation and balancing the management of two patients concurrently. Successful resuscitation requires understanding the physiologic changes to the woman throughout the course of pregnancy. Ultimately, trauma management is best approached by prioritizing maternal resuscitation.

Keywords: Blunt trauma; Penetrating trauma; Trauma in pregnancy.

Publication types

Review

MeSH terms

Emergency Service, Hospital
Female
Humans
Pregnancy
Pregnancy Complications / diagnosis
Pregnancy Complications / therapy*
Resuscitation
Wounds and Injuries / complications*
Wounds and Injuries / diagnosis
Wounds and Injuries / therapy
Wounds, Nonpenetrating / complications
Wounds, Nonpenetrating / diagnosis
Wounds, Nonpenetrating / therapy
Wounds, Penetrating / complications
Wounds, Penetrating / diagnosis
Wounds, Penetrating / therapy