Background: Trauma frequently occurs during pregnancy and can affect both mother and unborn child. It is essential to consider pregnancy in every female trauma patient of reproductive age. The management of a pregnant trauma patient is often considered to be complicated.
Main body: Therefore, it is important to follow a clear management protocol of the appropriate approach of the pregnant trauma patient. Furthermore, some pregnancy-specific complications of trauma such as placental abruption, uterine rupture, premature uterine contractions and their management are presented.
In pregnancy, the ABCDEF approach is used during the primary survey with the ‘F’ standing for fetus. Fetal vital signs are an important indicator of the maternal condition, and fetal outcome depends on maternal wellbeing. Concerning the secondary survey, a physical examination as well as indicated technical examinations should be performed with fetal monitoring being essential in a viable pregnancy. In case of non-reassuring findings, emergency caesarean section or laparotomy may be indicated.
In case of cardiac arrest, advanced trauma life support management should be started and the aetiology of cardiac arrest should be sought using the BEAUCHOPS tool. Early airway protection with adequate oxygenation and ventilation as well as effective chest compressions with tilting of the mother or manual displacement of the uterus, are essential.
Conclusion: A systematic approach (ABCDEF) of the traumatised pregnant patient is even more essential than in the non-pregnant patient. Saving the mother is crucial if you also want to save the unborn child.
Published on: Aug 18, 2020 Pages: 38-46
Full Text PDF
Full Text HTML
CrossMark Publons Harvard Library HOLLIS Search IT Semantic Scholar Get Citation Base Search Scilit OAI-PMH ResearchGate Academic Microsoft GrowKudos Universite de Paris UW Libraries SJSU King Library SJSU King Library NUS Library McGill DET KGL BIBLiOTEK JCU Discovery Universidad De Lima WorldCat VU on WorldCat
Lund University, Sweden
Annals of Environmental Science and Toxicology
University of Padua, Italy
Journal of Gynecological Research and Obstetrics
Sassari University, Italy
Archive of Urological Research
Marche Polytechnic University - School of Medicine and Surgery (UNIVPM, Ancona); Istituto per lo studio delle psicoterapie (ISP, Rome) , Italy
Open Journal of Trauma
Marco Matteo Ciccone
University of Bari , Italy
Archives of Organ Transplantation
Democritus University of Thrace , Greece
International Journal of Vascular Surgery and Medicine
Yeungnam University, Korea
International Journal of Immunotherapy and Cancer Research
Wei Min HUANG
Nanyang Technological University, Singapore
Archive of Biomedical Science and Engineering
Cardiometabolic Research Institute, USA
Journal of Cardiovascular Medicine and Cardiology
Dr. Rath Research Institute
1260 Memorex Drive, Santa Clara, USA
Global Journal of Cancer Therapy
PTZ: We're glad you're here. Please click "create a new query" if you are a new visitor to our website and need further information from us.
If you are already a member of our network and need to keep track of any developments regarding a question you have already submitted, click "take me to my Query."