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Williams Obstetrics, 23e
| Section VII. Obstetrical Complications > |
Trauma
Sections: Blunt Trauma, Physical Abuse—Intimate Partner Violence, Screening and Prevention, Sexual Assault, Automobile Accidents, Other Blunt Trauma, Fetal Injury and Death, Placental Abruption and Uterine Rupture, Traumatic Placental Abruption, Uterine Rupture, Fetal-Maternal Hemorrhage, Penetrating Trauma, Management of Trauma, Cesarean Delivery, Electronic Monitoring, Fetal-Maternal Hemorrhage.
Topics Discussed: abruptio placentae; accidents, traffic; domestic violence; fetomaternal transfusion; pregnancy; sexual assault; trauma to placenta; traumatic injury during pregnancy; uterine rupture, traumatic.
Excerpt:"Trauma, homicide, and similar violent events are a leading cause of death in young women. As many as 10 to 20 percent of pregnant women suffer physical trauma (American College of Obstetricians and Gynecologists, 1998; Rickert and associates, 2003). Injury-related deaths are the most commonly identified cause of maternal morbidity in Maryland, Utah, and North Carolina (Harper and Parsons, 1997; Horon and Cheng, 2001; Jacob and colleagues, 1998). And in a California study of 4.8 million pregnancies by El Kady and co-workers (2004, 2005), almost 1 in 350 women were hospitalized for injuries from assaults. In an audit from Parkland Hospital, Hawkins and associates (2007) studied 1682 pregnant women who presented to the trauma service. Motor vehicle accidents and falls accounted for 85 percent of injuries, whereas 10 percent were due to assaults.Many forms of blunt trauma are encountered in pregnancy. Their common theme concerns immediate assessment of maternal effects of trauma, emergency treatment, and then evaluation of collateral effects on the fetus.According to the Department of Justice, women who are aged 16 to 24 years have the highest per capita rates of intimate partner violence—19.4 per 1000 (Rennison and Welchans, 2000). It is..."
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