PMID: 16520368Mar 8, 2006Paper

Orthopaedic trauma in the pregnant patient

The Journal of the American Academy of Orthopaedic Surgeons
Kyle FlikDavid L Helfet

Abstract

Trauma affects up to 8% of pregnancies and is the leading cause of death among pregnant women in the United States. A pregnancy test is mandated for all females of childbearing age who are involved in trauma. Orthopaedic trauma in the pregnant patient is managed similarly to that for all trauma patients. Initial resuscitation efforts should focus on the pregnant patient because stable patient vital signs provide the best chance for fetal survival. In the stable patient, fetal assessment and a pelvic examination are mandatory. Radiographs as well as abdominal ultrasound of the patient and fetal ultrasound are useful. No known biologic risks are associated with magnetic resonance imaging, and no specific fetal abnormalities have been linked with standard low-intensity magnetic resonance imaging. Emergency surgery can be safely performed in most pregnant patients. Avoiding patient hypotension and using left lateral decubitus positioning increase the likelihood of success for the patient and fetus. An experienced multidisciplinary team consisting of an obstetrician, perinatologist, orthopaedic surgeon, anesthesiologist, radiologist, and nursing staff will optimize the treatment of both the pregnant patient and her fetus.

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Citations

Apr 21, 2010·Obstetrical & Gynecological Survey·Joseph A Morgan, Peter S Marcus
May 26, 2011·Biomedical Imaging and Intervention Journal·Fr KhanA Javed
Apr 6, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Nirmal TejwaniChristopher Scott Klifto
Sep 2, 2008·Journal of Orthopaedic Trauma·Scott E PorterMatthew L Graves
Jul 3, 2013·Case Reports in Orthopedics·Ran SchwarzkopfRamesh Gidumal
Sep 15, 2017·Journal of Orthopaedic Trauma·John C WeinleinSara E Johnson
Jan 11, 2021·Seminars in Roentgenology·Usa CainCorrie M Yablon

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