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Chapter 4 - Trauma in Pregnancy

Published online by Cambridge University Press:  23 August 2019

Alex Koyfman
Affiliation:
University of Texas Southwestern Medical Center
Brit Long
Affiliation:
San Antonio Military Medical Center
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Summary

Trauma accounts for nearly half of all deaths of pregnant women.1 Pregnant women have distinct physiologic and anatomic characteristics which complicate their management following major trauma. Furthermore, the presence of a fetus means there are effectively two patients, both of whom require evaluation and potentially treatment. The priority in resuscitation of pregnant trauma patients is maternal stabilization.2

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Publisher: Cambridge University Press
Print publication year: 2019

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References

Fildes, J, Reed, L, Jones, N, Martin, M, Barrett, J. Trauma: the leading cause of maternal death. J Trauma. 1992;32:643–45.Google Scholar
Esposito, TJ. Trauma during pregnancy. Emerg Med Clin North Am. 1994;12:167–99.Google Scholar
Eisenstat, SA, Bancroft, L. Domestic violence. N Engl J Med. 1999;341:886–92.CrossRefGoogle ScholarPubMed
Kyriacou, DN, Anglin, D, Taliaferro, E, et al. Risk factors for injury to women from domestic violence. N Engl J Med. 1999;341:1892–98.Google Scholar
Lutgendorf, MA, Busch, JM, Doherty, DA, et al. Prevalence of domestic violence in a pregnant military population. Obstet Gynecol. 2009;113:866–72.CrossRefGoogle Scholar
Mendez-Figueroa, H, Dahlke, JD, Vrees, RA, Rouse, DJ. Trauma in pregnancy: an updated systematic review. Am J Obstet Gynecol. 2013;209:110.CrossRefGoogle ScholarPubMed
Cokkinides, VE, Coker, AL, Sanderson, M, Addy, C, Bethea, L. Physical violence during pregnancy: maternal complications and birth outcomes. Obstet Gynecol. 1999;93:661–66.Google Scholar
Palladino, CL, Singh, V, Campbell, J, Flynn, H, Gold, KJ. Homicide and suicide during the perinatal period: findings from the National Violent Death Reporting System. Obstet Gynecol. 2011;118:1056–63.CrossRefGoogle ScholarPubMed
Kvarnstrand, L, Milsom, I, Lekander, T, Druid, H, Jacobsson, B. Maternal fatalities, fetal and neonatal deaths related to motor vehicle crashes during pregnancy: a national population-based study. Acta Obstet Gynecol Scand. 2008;87:946–52.CrossRefGoogle ScholarPubMed
Maghsoudi, H, Samnia, R, Garadaghi, A, Kianvar, H. Burns in pregnancy. Burns. 2006;32:246–50.Google Scholar
Schiff, MA. Pregnancy outcomes following hospitalisation for a fall in Washington State from 1987 to 2004. BJOG. 2008;115:1648–54.Google Scholar
Shah, AJ, Kilcline, BA. Trauma in pregnancy. Emerg Med Clin North Am. 2003;21:615–29.CrossRefGoogle ScholarPubMed
Awwad, JT, Azar, GB, Seoud, MA, Mroueh, AM, Karam, KS. High-velocity penetrating wounds of the gravid uterus: review of 16 years of civil war. Obstet Gynecol. 1994;83:259–64.Google ScholarPubMed
Stone, IK. Trauma in the obstetric patient. Obstet Gynecol Clin North Am. 1999;26:459–67, viii.CrossRefGoogle ScholarPubMed
Jensen, A, Kunzel, W, Kastendieck, E. Repetitive reduction of uterine blood flow and its influence on fetal transcutaneous PO2 and cardiovascular variables. J Dev Physiol. 1985;7:7587.Google ScholarPubMed
Baggish, MS, Hooper, S. Aspiration as a cause of maternal death. Obstet Gynecol. 1974;43:327–36.Google ScholarPubMed
Berry, MJ, McMurray, RG, Katz, VL. Pulmonary and ventilatory responses to pregnancy, immersion, and exercise. J Appl Physiol (1985). 1989;66:857–62.Google Scholar
Weissgerber, TL, Wolfe, LA, Hopkins, WG, Davies, GA. Serial respiratory adaptations and an alternate hypothesis of respiratory control in human pregnancy. Respir Physiol Neurobiol. 2006;153:3953.Google Scholar
Adler, G, Duchinski, T, Jasinska, A, Piotrowska, U. Fibrinogen fractions in the third trimester of pregnancy and in puerperium. Thromb Res. 2000;97:405–10.Google Scholar
American College of Surgeons, Trauma in pregnancy and intimate partner violence. In: Trauma, C.o., ed. Advanced Trauma Life Support. Chicago, IL: American College of Surgeons; 2012.Google Scholar
Stead, LG. Seizures in pregnancy/eclampsia. Emerg Med Clin North Am. 2011;29:109–16.Google Scholar
Nash, P, Driscoll, P. ABC of major trauma. Trauma in pregnancy. BMJ. 1990;301:974–76.Google Scholar
Rocke, DA, Murray, WB, Rout, CC, Gouws, E. Relative risk analysis of factors associated with difficult intubation in obstetric anesthesia. Anesthesiology. 1992;77:6773.CrossRefGoogle ScholarPubMed
Jain, V, Chari, R, Maslovitz, S, et al. Guidelines for the management of a pregnant trauma patient. J Obstet Gynaecol Can. 2015;37:553–74.CrossRefGoogle ScholarPubMed
Pavlov, I, Medrano, S, Weingart, S. Apneic oxygenation reduces the incidence of hypoxemia during emergency intubation: a systematic review and meta-analysis. Am J Emerg Med. 2017;35(8):1184–89.CrossRefGoogle ScholarPubMed
Salem, MR, Khorasani, A, Zeidan, A, Crystal, GJ. Cricoid pressure controversies: narrative review. Anesthesiology. 2017;126:738–52.Google Scholar
Templeton, A, Kelman, GR. Maternal blood-gases, PAo2–Pao2), hysiological shunt and VD/VT in normal pregnancy. Br J Anaesth. 1976;48:1001–4.CrossRefGoogle ScholarPubMed
Brown, HL. Trauma in pregnancy. Obstet Gynecol. 2009;114:147–60.Google Scholar
Higuchi, H, Takagi, S, Zhang, K, Furui, I, Ozaki, M. Effect of lateral tilt angle on the volume of the abdominal aorta and inferior vena cava in pregnant and nonpregnant women determined by magnetic resonance imaging. Anesthesiology. 2015;122:286–93.Google Scholar
Summers, RL, Harrison, JM, Thompson, JR, Porter, J, Coleman, TG. Theoretical analysis of the effect of positioning on hemodynamic stability during pregnancy. Acad Emerg Med. 2011;18:1094–98.Google Scholar
Katz, VL, Dotters, DJ, Droegemueller, W. Perimortem cesarean delivery. Obstet Gynecol. 1986;68:571–76.Google Scholar
Katz, V, Balderston, K, DeFreest, M. Perimortem cesarean delivery: were our assumptions correct? Am J Obstet Gynecol. 2005;192:1916–20; discussion 1920–21.CrossRefGoogle ScholarPubMed
American College of Obstetricians and Gynecologists, Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol. 2013;122:1122–31.Google Scholar
Benson, MD. Amniotic fluid embolism mortality rate. J Obstet Gynaecol Res. 2017;43(11):1714–18.Google Scholar
Deeluea, J, Sirichotiyakul, S, Weerakiet, S, et al. Fundal height growth curve for Thai women. ISRN Obstet Gynecol. 2013;2013:463598.Google ScholarPubMed
Kuhlmann, RS, Warsof, S. Ultrasound of the placenta. Clin Obstet Gynecol. 1996;39:519–34.Google Scholar
American College of Obstetricians and Gynecologists. Trauma during pregnancy. ACOG Technical Bulletin Number 161–November 1991. Int J Gynaecol Obstet. 1993;40:165–70.Google Scholar
Group, E, Fellman, V, Hellstrom-Westas, L, et al. One-year survival of extremely preterm infants after active perinatal care in Sweden. JAMA. 2009;301:2225–33.Google Scholar
Stoll, BJ, Hansen, NI, Bell, EF, et al. Trends in care practices, morbidity, and mortality of extremely preterm neonates, 1993–2012. JAMA. 2015;314:1039–51.Google Scholar
Tyson, JE, Parikh, NA, Langer, J, et al. Intensive care for extreme prematurity – moving beyond gestational age. N Engl J Med. 2008;358:1672–81.CrossRefGoogle ScholarPubMed
Smith, KA, Bryce, S. Trauma in the pregnant patient: an evidence-based approach to management. Emerg Med Pract. 2013;15:118; quiz 18–19.Google Scholar
Pearlman, MD, Tintinallli, JE, Lorenz, RP. A prospective controlled study of outcome after trauma during pregnancy. Am J Obstet Gynecol. 1990;162:1502–7; discussion 1507–10.Google Scholar
Nageotte, MP. Fetal heart rate monitoring. Semin Fetal Neonatal Med. 2015;20:144–48.Google Scholar
Richards, JR, Ormsby, EL, Romo, MV, Gillen, MA, McGahan, JP. Blunt abdominal injury in the pregnant patient: detection with US. Radiology. 2004;233:463–70.CrossRefGoogle ScholarPubMed
Ellestad, SC, Shelton, S, James, AH. Prenatal diagnosis of a trauma-related fetal epidural hematoma. Obstet Gynecol. 2004;104:1298–300.Google Scholar
Hartl, R, Ko, K. In utero skull fracture: case report. J Trauma. 1996;41:549–52.Google Scholar
Mann, FA, Nathens, A, Langer, SG, Goldman, SM, Blackmore, CC. Communicating with the family: the risks of medical radiation to conceptuses in victims of major blunt-force torso trauma. J Trauma. 2000;48:354–57.CrossRefGoogle ScholarPubMed
Kim, YA, Makar, RS. Detection of fetomaternal hemorrhage. Am J Hematol. 2012;87:417–23.CrossRefGoogle ScholarPubMed
Roberts, D, Brown, J, Medley, N, Dalziel, SR. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database Syst Rev. 2017;3:CD004454.Google Scholar
Committee on Practice Bulletins-Obstetrics. Practice Bulletin No. 181: prevention of Rh D alloimmunization. Obstet Gynecol. 2017;130:e57e70.CrossRefGoogle Scholar
Blencowe, H, Lawn, J, Vandelaer, J, Roper, M, Cousens, S. Tetanus toxoid immunization to reduce mortality from neonatal tetanus. Int J Epidemiol. 2010;39(Suppl 1):i102–9.CrossRefGoogle ScholarPubMed
Demetriades D, Newton E. Abdominal trauma in pregnancy. Color Atlas of Emergency Trauma, 2nd ed. Cambridge: Cambridge University Press; 2011, pp. 154–59.Google Scholar
McFarlane, J, Parker, B, Soeken, K, Bullock, L. Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care. JAMA. 1992;267:3176–78.Google Scholar
Cannada, LK, Pan, P, Casey, BM, et al. Pregnancy outcomes after orthopedic trauma. J Trauma. 2010;69:694–98; discussion 698.Google Scholar
El Kady, D, Gilbert, WM, Xing, G, Smith, LH. Association of maternal fractures with adverse perinatal outcomes. Am J Obstet Gynecol. 2006;195:711–16.CrossRefGoogle ScholarPubMed

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