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Related Concept Videos

Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
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Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...

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Updated: Jun 15, 2026

Mouse Model of Surgical Uterine Injury and Subsequent Pregnancy Outcomes
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Published on: June 27, 2025

Trauma in pregnancy: a systematic approach.

Fadi G Mirza1, Patricia C Devine, Sreedhar Gaddipati

  • 1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York 10032, USA. fgm2107@columbia.edu

American Journal of Perinatology
|March 4, 2010
PubMed
Summary
This summary is machine-generated.

Trauma during pregnancy significantly increases risks for both mother and fetus. Prompt maternal assessment and fetal monitoring are crucial for managing obstetric trauma from accidents or assaults.

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Area of Science:

  • Obstetrics and Gynecology
  • Trauma Surgery
  • Maternal-Fetal Medicine

Background:

  • Trauma in pregnancy is a leading cause of maternal and fetal morbidity and mortality.
  • Complications include maternal injury, hemorrhage, fetal demise, and uterine rupture.
  • Leading causes are motor vehicle accidents, falls, assaults, and gunshots.

Purpose of the Study:

  • To review the assessment and management of trauma in pregnancy.
  • To highlight the unique considerations for maternal and fetal well-being.
  • To emphasize the importance of preventive strategies.

Main Methods:

  • Review of obstetric trauma assessment and management principles.
  • Discussion of diagnostic tools including fetal heart monitoring, ultrasonography, CT scans.
  • Consideration of interventions like peritoneal lavage and exploratory laparotomy.

Main Results:

  • Initial evaluation and resuscitation must prioritize maternal stability.
  • Fetal well-being assessment is critical once the mother is stabilized.
  • Various diagnostic and surgical interventions may be necessary.

Conclusions:

  • Obstetric trauma poses significant risks requiring specialized care.
  • Maternal-directed initial management followed by fetal evaluation is key.
  • Preventive measures are paramount to reduce adverse outcomes.