Citation

Vulkov I, Bozhinov P. Akush. Ginekol. (Sofiia) 2016; 55(2): 22-26.

Copyright

(Copyright © 2016, Ministerstvo na naradnoto zdrave i sotsialnite grizhi)

DOI

unavailable

PMID

27509653

Abstract

No matter how severe is head injury during pregnancy, it can threaten both- the maternal and (or) the fetal life. The risk derives from systemic and cerebral consequences of high intracranial pressure, hypotension, anemia or expanding mass lessions in the cranial cavity. The specific hormonal background of the mother may contribute the better outcome after traumatic brain injury (TBI). Pregnancy and trauma push the doctors to create different and specific management than the usual case. Investigating literature data we figure out the initial assessment, management priorities for resuscitation of the head injured pregnant patient, concidering the specific anatomic and physiologic changes during pregnancy. We accept the principal: first save the mother, then the child, if possible, proposing algorithm for severe head injured pregnant patient management.

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