trauma and pregnancy: what should we take into consideration?

نویسندگان

sepideh khodaverdi ¹

maryam khodaverdi ²

robabeh mohammadbeigi ³

چکیده

trauma is one of the major non-obstetric causes of pregnancy-associated maternal deaths. most cases of maternal trauma include: motor vehicle crashes, domestic violence, falls, burns, suicide, and toxic exposure. pregnancy-related anatomic and physiologic changes like increased joint laxity, weight gain, and changes in the center of gravity during pregnancy increase the risk of falling. one of the important challenges that physicians must face in the evaluation and management of traumatiized pregnant women is pregnancy-related anatomic and physiologic changes. management of these patients requires multidisciplinary coordination between groups of physicians. the role of obstetricians on this team is as consultants to determine the need and time of emergency delivery by considering this rule, “saving the mother’s life has superiority to the fetus”. antenatal glucocorticoids administered to women at risk of preterm delivery; continuous fetal monitoring continued for 2–6 hours and, urgent cesarean delivery done in cases of imminent maternal death, ineffectiveness of cardiopulmonary resuscitation within four minutes, or nonreassuring fetal heart rate in stable patients or when the gravid uterus prevents adequate surgical exposure during laparotomy. uterine rupture, abruptio placentae, fetomaternal hemorrhage, preterm labor, and premature rupture of membranes are other complications of trauma in pregnancy. management of such complications, outcome, and prevention of trauma during pregnancy are discussed.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

I-14: Assisted Reproduction and Religion What Consideration Should Be and Should Not Be Relevant,

Several important issues are pertinent to an ethical discussion of the new technology today grouped under the name Assisted Reproduction Technology (ART). This is a moral imperative because each of us must decide what is to be considered ethically acceptable in assisted reproduction. Reflecting on the ethical dimension of ‘creating’ a new human life can play a major role in ensuring that in eac...

متن کامل

Medical Student Debt: What Perspective Should We Take?

Since medical education is expensive, healthcare professional students in many countries must take out loans to pay for their studies. The resultant levels of debt have created concerns at both the beginning and the end of undergraduate education. How should medical educators respond to these concerns? If educators are to look at medical education from the perspective of their students who are ...

متن کامل

What action should we take to save the health service?

How can the NHS cutbacks, downgrading, restructuring and job losses not affect the quality of care we are able to give patients? The NHS will cease to exist as we know it if we allow Andrew Lansley's Health and Social Care Bill to be implemented.

متن کامل

Which pill should we take?

When Dr Pless presents his qualifications “to pontificate” on preventing child injuries, he forgets to mention that he has nurtured, cajoled, nagged and inspired a generation of researchers and practitioners in the field to strive for a better deal for children. I am among those so privileged. Perhaps for this reason more than any other, I find myself contemplating his convictions along with th...

متن کامل

Fluid resuscitation in trauma patients: what should we know?

PURPOSE OF REVIEW Fluid resuscitation in trauma patients could reduce organ failure, until blood components are available and hemorrhage is controlled. However, the ideal fluid resuscitation strategy in trauma patients remains a debated topic. Different types of trauma can require different types of fluids and different volume of infusion. RECENT FINDINGS There are few randomized controlled t...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
trauma monthly

جلد ۲۰، شماره Special Issue، صفحات ۰-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023