Trauma in pregnancy

Abstract

The priorities for management of the pregnant patient are no different than those of the nonpregnancy patient. It is important to follow a methodic evaluation that ensures complete assessment and stabilization of the mother. The mother should be stabilized before the stabilization of the fetus. The physiologic and anatomic changes during the pregnancy can influence outcome. Continuous fetal and maternal monitoring may be necessary. This article discuss about blunt and penetrating abdominal trauma, peritoneal lavage and indications of exploratory laparotomy. Cardiopulmonary resuscitation in pregnancy and perimortem cesarean delivery is considered. Indicators may suggest the presence of domestic violence and should serve to initiate further investigation.