Citation

Refa N, Ali RAR, Gomaa H. Update in Anaesthesia 2019; 34: 63-70.

Copyright

(Copyright © 2019)

DOI

10.1029/WFSA-D-18-00018

PMID

unavailable

Abstract

Trauma during pregnancy is the leading non-obstetrical cause of maternal death and remains the most common cause of foetal demise. It complicates 6% to 8% of pregnancies, 0.4% require hospital admission and 0.1% suffer major trauma (Injury Severity Score (ISS) >15). Motor vehicle accidents and domestic violence account for most cases of maternal major trauma, while falls, burns, homicide, suicide, penetrating trauma, and toxic exposure account for the remainder. Trauma management needs multidisciplinary team of emergency physician, obstetrician, anesthesiologist & surgeons. Major trauma causes obstetric & fetal complications & may end by maternal death. Perimortem cesarean section is important to save both mother & fetus. Pregnant trauma victims experience nearly 2-fold higher mortality compared to non-pregnant. © World Federation of Societies of Anaesthesiologists 2019.

Language: en