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Trauma in the obstetric patient

I K Stone1

  • 1Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, USA.

Trauma is the leading nonobstetric cause of maternal death. Penetrating trauma during pregnancy primarily involves gunshot and stab wounds. The incidence of visceral injury in pregnant women with penetrating abdominal trauma is 16% to 38% versus 80% to 90% in the general population. Management of pelvic trauma in pregnancy involves assessment of two individuals and decision making that is by necessity centered around preservation of the mother, avoiding ill-advised premature delivery of the fetus except in certain situations.

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