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Updated: Aug 9, 2026
09:26
Transabdominal Ultrasound for Pregnancy Diagnosis in Reeves' Muntjac Deer
Published on: January 7, 2014
Abdominal gunshot wounds in pregnancy
A L Franger1, H J Buchsbaum, A M Peaceman
1Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee 53226.
American Journal of Obstetrics and Gynecology
|May 1, 1989
Summary
Civilian gunshot wounds are rising, impacting pregnant women. Management guidelines suggest observation for stable mothers with specific wound characteristics, prioritizing maternal and fetal well-being.
Area of Science:
- Trauma Surgery
- Obstetrics and Gynecology
- Forensic Medicine
Background:
- Increasing incidence of civilian gunshot wounds (GSW).
- Higher frequency of abdominal trauma in pregnant women.
- Need for clear management protocols for GSW during pregnancy.
Observation:
- Report on three cases of abdominal GSW in pregnant patients.
- Detailed assessment of maternal condition and wound characteristics.
- Radiographic evaluation of missile trajectory and location.
Findings:
- Established criteria for selective observation in specific cases.
- Stable maternal condition is paramount.
- Key indicators include wound location below uterine fundus, intra-uterine missile, negative abdominal exam, and absence of urinary or GI bleeding.
Implications:
- Provides evidence-based guidelines for managing GSW in pregnancy.
- Aims to optimize maternal and fetal outcomes.
- Highlights the importance of careful patient selection for non-operative management.
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