Pregnancy and trauma: What you need to know
Sigrid Burruss1, Mallory Jebbia, Jeffry Nahmias
1From the Department of Surgery. Division of Trauma, Surgical Critical Care, and Emergency General Surgery, University of California, Irvine, Orange, California.
The Journal of Trauma and Acute Care Surgery
|November 4, 2024
Summary
Nearly 4% of pregnant patients experience trauma, requiring specialized emergency care due to physiological changes. This review covers assessment, imaging, and management of injuries, including shock and hemorrhage, for pregnant trauma patients.
Area of Science:
- Trauma Surgery
- Obstetrics
- Emergency Medicine
Background:
- Pregnancy involves significant physiological alterations impacting trauma management.
- Approximately 4% of pregnant individuals require emergency department visits for injuries.
Purpose of the Study:
- To review the unique physiological changes in pregnant trauma patients.
- To outline initial assessment, laboratory, and imaging protocols.
- To discuss management strategies for specific injuries and critical interventions.
Main Methods:
- Literature review focusing on trauma in pregnancy.
- Analysis of physiological adaptations during gestation.
- Synthesis of current guidelines for managing pregnant trauma patients.
Main Results:
- Pregnancy necessitates modified approaches to trauma assessment and care.
- Specific injury management, including pelvic fractures and shock, requires tailored strategies.
- Resuscitative hysterotomy and fetal support are critical considerations.
Conclusions:
- Effective management of pregnant trauma patients hinges on understanding gestational physiology.
- Standard trauma protocols must be adapted for pregnant individuals.
- Knowledge of interventions like resuscitative hysterotomy is vital for trauma surgeons.
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