Practice management guidelines for the diagnosis and management of injury in the pregnant patient: the EAST Practice Management Guidelines Work Group

The Journal of Trauma
Robert D BarracoEAST Practice Management Guidelines Work Group

Abstract

Trauma during pregnancy has presented very unique challenges over the centuries. From the first report of Ambrose Pare of a gunshot wound to the uterus in the 1600s to the present, there have existed controversies and inconsistencies in diagnosis, management, prognostics, and outcome. Anxiety is heightened by the addition of another, smaller patient. Trauma affects 7% of all pregnancies and requires admission in 4 of 1000 pregnancies. The incidence increases with advancing gestational age. Just over half of trauma during pregnancy occurs in the third trimester. Motor vehicle crashes comprise 50% of these traumas, and falls and assaults account for 22% each. These data were considered to be underestimates because many injured pregnant patients are not seen at trauma centers. Trauma during pregnancy is the leading cause of nonobstetric death and has an overall 6% to 7% maternal mortality. Fetal mortality has been quoted as high as 61% in major trauma and 80% if maternal shock is present. The anatomy and physiology of pregnancy make diagnosis and treatment difficult.

References

May 30, 1977·JAMA : the Journal of the American Medical Association·I D Bross, N Natarajan
Mar 1, 1978·The Journal of Trauma·D RothenbergerR P Fischer
Feb 1, 1992·The Journal of Trauma·R J ScorpioD R Gens
Sep 1, 1991·Archives of Surgery·T J EspositoT Buchman
Sep 11, 1991·Archives of Surgery·D P KissingerH R Champion
Sep 1, 1990·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Z AppelmanR Borenstein
Mar 1, 1990·American Journal of Obstetrics and Gynecology·T M Goodwin, M T Breen
May 1, 1990·The Journal of Trauma·T F DrostJ K Williams
Jun 1, 1990·American Journal of Obstetrics and Gynecology·M D PearlmanR P Lorenz
Jul 1, 1990·Journal of Pediatric Surgery·D L FarmerM R Harrison
Sep 15, 1990·International Journal of Cancer. Journal International Du Cancer·Y RodvallJ D Boice
Dec 1, 1989·The Journal of Trauma·T J EspositoR Scorpio
Dec 1, 1987·Annals of Emergency Medicine·P F AgranD Kent
Dec 15, 1985·American Journal of Obstetrics and Gynecology·P G RoseF P Zuspan
Feb 28, 1985·The New England Journal of Medicine·E B HarveyJ T Flannery
Dec 5, 1970·Lancet·K C CalmanR O Quin
May 1, 1984·The British Journal of Radiology·M Otake, W J Schull
Sep 1, 1994·British Journal of Cancer·X O ShuY T Gao
Nov 1, 1993·The Journal of Trauma·R ToweryD Wisner
Dec 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R LanoixB Goldfeder
May 1, 1996·Annals of Surgery·J A MorrisJ G Bass
Nov 1, 1996·The International Journal of Neuroscience·N I BohnenL T Kurland
May 1, 1997·The Journal of Trauma·J AliB A McLellan
Jul 1, 1997·American Journal of Perinatology·A M ConnollyW F Hansen
May 20, 1998·International Journal of Radiation Biology·J Michaelis
Jul 29, 1998·The Journal of Trauma·K H ShahD B Hoyt
Aug 26, 1998·International Journal of Radiation Biology·M Otake, W J Schull
Dec 29, 2000·Mayo Clinic Proceedings·Y Baerga-VarelaD M Ilstrup
May 3, 2001·Journal of the American College of Surgeons·G V BochicchioT Scalea
Aug 29, 2003·International Journal of Radiation Biology·R Wakeford, M P Little
Dec 8, 2004·The Journal of Trauma·Michael V MuenchChristopher R Harman

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Citations

Jan 16, 2007·Archives of Gynecology and Obstetrics·Udo Rudloff
Mar 23, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Marius RehnHans Morten Lossius
Jul 30, 2014·Pediatric Surgery International·Insu KawaharaSachi Sekine
Oct 25, 2011·Journal of Surgical Technique and Case Report·Pradeep K SinghAbhishek Yadav
Jan 21, 2014·Journal of the American College of Surgeons·Corey W IqbalUNKNOWN Pancreatic Trauma in Children (PATCH) Study Group
Feb 12, 2013·The Journal of Hand Surgery·Tristan L HartzellCharles S Day
Oct 22, 2015·Orthopedics·Leslie J MatthewsScott D Daffner
Mar 30, 2016·The Journal of Surgical Research·Majid AfsharGiora Netzer
Nov 26, 2015·Critical Care Clinics·Amie Lucia, Susan E Dantoni
Jul 2, 2015·Early Human Development·Bloeme J van der KnoopJohanna I P de Vries
Sep 15, 2011·Critical Care : the Official Journal of the Critical Care Forum·Bjoern HussmannSven Lendemans
Apr 2, 2015·Saudi Journal of Anaesthesia·Mohamed Mohamed TawfikRafik Ibrahim Barakat
Aug 28, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Rupjyoti Talukdar, D Nageshwar Reddy
Nov 5, 2015·Journal of the Royal Army Medical Corps·Edwin R FaulconerD Bowley
Apr 12, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·B J van der KnoopJ I P de Vries
Apr 6, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Nirmal TejwaniChristopher Scott Klifto
Jul 31, 2018·Hormone Molecular Biology and Clinical Investigation·Benjamin Lebrun, Yves Jacquemyn
Sep 4, 2010·Indian Journal of Pediatrics·Mamatha M Lala, Rashid H Merchant
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·D A PotokaA B Peitzman
Dec 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·R DimitriouP V Giannoudis
Jan 26, 2012·Der Unfallchirurg·D RixenUNKNOWN German Society of Trauma Surgery (DGU)
Dec 29, 2012·The Journal of Trauma and Acute Care Surgery·Tammy R KopelmanMelissa A Pressman
May 9, 2014·Radiation Research·Joy GarrettJoseph R Dynlacht
Apr 23, 2019·Journal of Foot and Ankle Research·S DarsL Matricciani
Nov 8, 2019·Obstetrics and Gynecology·Patricia S GrecoMark D Pearlman
Jan 31, 2017·Acta orthopaedica et traumatologica turcica·Güzelali ÖzdemirErman Ceyhan
Jan 5, 2013·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Christopher S SampsonJason C Wagner
Mar 21, 2020·Clinical Obstetrics and Gynecology·Mauricio LA RosaMarÍa F Escobar
Feb 10, 2016·Current Opinion in Anaesthesiology·Michael Heesen, Markus Klimek
Nov 26, 2019·Obstetrics and Gynecology·Patricia S GrecoMark D Pearlman
Jan 11, 2017·Case Reports in Orthopedics·Celal Bozkurt, Baran Sarikaya
Jun 19, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ivana Hrvatin, Darja Rugelj

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