PMID: 11333092May 3, 2001Paper

Incidental pregnancy in trauma patients

Journal of the American College of Surgeons
Grant V BochicchioT Scalea

Abstract

The rate of incidental pregnancy in trauma patients and the incidence of associated fetal mortality, to our knowledge, have not been previously reported. The early diagnosis of pregnancy in trauma patients has become even more difficult because rapid pregnancy screens have been eliminated because of quality control issues. We determined the rate of incidental pregnancy and the sequelae of delayed diagnosis, including fetal radiation exposure and mortality. Data were analyzed retrospectively on all patients in whom pregnancy was diagnosed during a trauma admission during a 4-year period (1995 to 1999). Pregnancy was confirmed by beta-HCG testing and gestational age estimated by an obstetrician by ultrasonography. Pregnancy outcomes were determined by a prospective telephone survey. One hundred fourteen (2.9%) of the 3,976 women (age 15 to 40 years) admitted to the trauma center were found to be pregnant. Thirteen (11.0%) were incidental pregnancies, of which 9 (8.0%) were newly diagnosed. Mean gestational age was significantly lower in the newly diagnosed pregnancies (6.9 versus 20.5 weeks, p < 0.0005). Fetal mortality in this group was significantly higher (100% versus 25%, p < 0.0005). The mean initial radiation exposure of al...Continue Reading

References

May 1, 1990·The Journal of Trauma·T F DrostJ K Williams
Oct 1, 1993·American Journal of Obstetrics and Gynecology·M A Dahmus, B M Sibai
Dec 1, 1995·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
May 1, 1997·The Journal of Trauma·J AliB A McLellan

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Citations

Jan 18, 2006·Emergency Radiology·Luana StanescuFrederick A Mann
Jan 22, 2002·Journal of the American College of Surgeons·David L North
Sep 17, 2009·Pediatric Emergency Care·Bruce M LoJoseph C Dooley
Jul 14, 2010·The Journal of Trauma·Robert D BarracoUNKNOWN EAST Practice Management Guidelines Work Group
Mar 28, 2012·AJR. American Journal of Roentgenology·Page I WangMitchell M Goodsitt
May 26, 2011·Biomedical Imaging and Intervention Journal·Fr KhanA Javed
Sep 11, 2007·Emergency Medicine Clinics of North America·Seric S Cusick, Carrie D Tibbles
Nov 8, 2006·Primary Care·Kevin S Ferentz, LaQuandra S Nesbitt
Sep 17, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Monika GoyalTheoklis Zaoutis
Jan 6, 2005·Journal of the American College of Surgeons·Danagra G IkossiM Margaret Knudson
Jun 24, 2015·Abdominal Imaging·Mariano ScaglioneRefky Nicola
Oct 17, 2017·Radiation Protection Dosimetry·F BochicchioUNKNOWN National Radon Coordination Group
Mar 19, 2015·Journal of Computer Assisted Tomography·William MoorePriya Bhattacharji
Oct 12, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jonathan A FlugClinton E Jokerst
Jan 22, 2005·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Michèle A BrownGiovanna Casola
May 15, 2021·Journal of Pediatric and Adolescent Gynecology·Caroline PerkowskiConrad Krawiec
Aug 12, 2021·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·Kimberly E ApplegateSimon Bouffler

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