Tags

Type your tag names separated by a space and hit enter

Trauma in pregnancy: an updated systematic review.

Abstract

We reviewed recent data on the prevalence, risk factors, complications, and management of trauma during pregnancy. Using the terms "trauma" and "pregnancy" along with specified mechanisms of injury, we queried the PubMed database for studies reported from Jan. 1, 1990, through May 1, 2012. Studies with the largest number of patients for a given injury type and that were population-based and/or prospective were included. Case reports and case series were used only when more robust studies were lacking. A total of 1164 abstracts were reviewed and 225 met criteria for inclusion. Domestic violence/intimate partner violence and motor vehicle crashes are the predominant causes of reported trauma during pregnancy. Management of trauma during pregnancy is dictated by its severity and should be initially geared toward maternal stabilization. Minor trauma can often be safely evaluated with simple diagnostic modalities. Pregnancy should not lead to underdiagnosis or undertreatment of trauma due to unfounded fears of fetal effects. More studies are required to elucidate the safest and most cost-effective strategies for the management of trauma in pregnancy.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women and Infants' Hospital, Warren Alpert Medical School of Brown University, Providence, RI. Electronic address: HMendezfigueroa@wihri.org.

    , ,

    Source

    MeSH

    Accidental Falls
    Accidents, Traffic
    Domestic Violence
    Female
    Humans
    Incidence
    Pregnancy
    Pregnancy Complications
    Pregnancy Outcome
    Risk Factors
    Trauma Severity Indices
    Wounds and Injuries

    Pub Type(s)

    Journal Article
    Review
    Systematic Review

    Language

    eng

    PubMed ID

    23333541

    Citation

    Mendez-Figueroa, Hector, et al. "Trauma in Pregnancy: an Updated Systematic Review." American Journal of Obstetrics and Gynecology, vol. 209, no. 1, 2013, pp. 1-10.
    Mendez-Figueroa H, Dahlke JD, Vrees RA, et al. Trauma in pregnancy: an updated systematic review. Am J Obstet Gynecol. 2013;209(1):1-10.
    Mendez-Figueroa, H., Dahlke, J. D., Vrees, R. A., & Rouse, D. J. (2013). Trauma in pregnancy: an updated systematic review. American Journal of Obstetrics and Gynecology, 209(1), pp. 1-10. doi:10.1016/j.ajog.2013.01.021.
    Mendez-Figueroa H, et al. Trauma in Pregnancy: an Updated Systematic Review. Am J Obstet Gynecol. 2013;209(1):1-10. PubMed PMID: 23333541.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Trauma in pregnancy: an updated systematic review. AU - Mendez-Figueroa,Hector, AU - Dahlke,Joshua D, AU - Vrees,Roxanne A, AU - Rouse,Dwight J, Y1 - 2013/01/17/ PY - 2012/10/26/received PY - 2013/01/10/revised PY - 2013/01/14/accepted PY - 2013/1/22/entrez PY - 2013/1/22/pubmed PY - 2013/12/16/medline KW - management KW - pregnancy KW - systematic review KW - trauma SP - 1 EP - 10 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 209 IS - 1 N2 - We reviewed recent data on the prevalence, risk factors, complications, and management of trauma during pregnancy. Using the terms "trauma" and "pregnancy" along with specified mechanisms of injury, we queried the PubMed database for studies reported from Jan. 1, 1990, through May 1, 2012. Studies with the largest number of patients for a given injury type and that were population-based and/or prospective were included. Case reports and case series were used only when more robust studies were lacking. A total of 1164 abstracts were reviewed and 225 met criteria for inclusion. Domestic violence/intimate partner violence and motor vehicle crashes are the predominant causes of reported trauma during pregnancy. Management of trauma during pregnancy is dictated by its severity and should be initially geared toward maternal stabilization. Minor trauma can often be safely evaluated with simple diagnostic modalities. Pregnancy should not lead to underdiagnosis or undertreatment of trauma due to unfounded fears of fetal effects. More studies are required to elucidate the safest and most cost-effective strategies for the management of trauma in pregnancy. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/23333541/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(13)00068-9 DB - PRIME DP - Unbound Medicine ER -