Orthopedic Trauma During Pregnancy; a Narrative Review
Message:
Article Type:
Review Article (دارای رتبه معتبر)
Abstract:
Introduction

Blunt traumas, like road accidents and falls, are common causes of injuries to pregnant women,and the major risk factors are young age and low socioeconomic level. Due to physiological and anatomicalchanges specific to pregnancy, such as changes in blood pressure and hemoglobin drop, trauma managementinvolves certain complexities. Physical trauma is estimated to cause at least 1 complication in every 12 pregnan-cies. This study aims to evaluate orthopedic trauma during pregnancy and appreciate the different approachesto circumvent the resultant challenges.

Methods

We reviewed 55 articles, published on orthopedic traumaduring pregnancy between 2011 and 2021. The articles were identified by searching PubMed, google-scholar,Scopus, and Science-Direct. We utilized the search terms: fall in pregnancy, traumas in pregnancy, motor vehi-cle accident/crash in pregnancy, blunt trauma in pregnancy, pregnant trauma patient, penetrating injury dur-ing pregnancy, assault, interpersonal violence in pregnancy, and mortality and pregnancy.

Results

Accordingto available reports, after stabilizing the pregnant patient, diagnostic procedures, including radiography, andeven gadolinium-based techniques when needed, can be performed to examine extensive trauma. In contrastto elective orthopedic surgery, emergency orthopedic surgeries, including reduction of open fractures, shouldbe performed promptly.

Conclusion

Based on our investigation, pregnant women with orthopedic injuriesthat are severe, or even seemingly less severe, experience significantly increased adverse pregnancy outcomes,which include preterm birth, placental abruption, poor infant condition at birth, infant death, and even mater-nal death.

Language:
English
Published:
Archives of Academic Emergency Medicine, Volume:10 Issue: 1, 2022
Page:
39
magiran.com/p2439214  
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 990,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
توجه!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
In order to view content subscription is required

Personal subscription
Subscribe magiran.com for 50 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!