Trauma in Pregnancy - Protecting what you most treasure from trauma

Dr. Michele Brown OB/GYN

Trauma in PregnancyProtecting What You Most Treasure From Trauma

The recent news story of the orthodox Jewish woman from Brooklyn, seven months pregnant, tragically killed in a motor vehicle accident, brings to light the unique situation of dealing with trauma in pregnancy. Although it is a rare event, trauma is one of the leading causes of maternal mortality, accounting for approximately 40% of maternal deaths and 10% of fetal deaths.  Due to unique anatomical and physiological changes during pregnancy, a pregnant woman is at significantly higher risk of injury.  Pregnant women have a higher incidence of abdominal trauma but a lower incidence of chest and head trauma. 

Due to the complete dependence of fetal stability on the mother’s wellbeing, careful attention must always be given initially to maintain maternal stability along with all of the standard emergency measures that are applied on every critically traumatized patient.

Only after maternal stability has been assured does one focus on fetal wellbeing. Even if the mother is stable, the insult generated by a traumatic event does not assure the fetal wellbeing.  After the expectant mother’s stability is assured, a completely separate evaluation must be undertaken that focuses on the fetus, which may have totally different findings. More than 90% of all injuries during pregnancy are minor but most pregnancy losses are due to... READ MORE "TRAUMA IN PREGNANCY" HERE.

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