@article{ref1,
title="Minor trauma in pregnancy--is the evaluation unwarranted?",
journal="American journal of obstetrics and gynecology",
year="2008",
author="Cahill, Alison G. and Bastek, Jamie A. and Stamilio, David M. and Odibo, Anthony O. and Stevens, Erika and Macones, George A.",
volume="198",
number="2",
pages="208.e1-2085",
abstract="OBJECTIVE: The purpose of this study was to examine the rate of and risks for abruption and adverse pregnancy outcome after minor trauma in pregnancy. STUDY DESIGN: This is a 3-year prospective cohort study of patients after noncatastrophic trauma. Data collected included maternal demographics and history, trauma mechanism, and pregnancy outcome. Examination, lab tests including Kleihauer-Betke (KB), and a minimum of 4 hours of fetal monitoring were performed. The primary outcomes were placental abruption and a composite pregnancy morbidity outcome. Univariate and bivariate analysis were performed. RESULTS: Of the 317 patients evaluated for minor trauma, 9 had a positive KB test (2.8%). Delivery information was available on 256 (81%) patients, and there was 1 placental abruption. The 49 cases (19.4%) of composite outcome could not be predicted. CONCLUSION: Perhaps it is time to reevaluate the extensive evaluations often done after minor trauma in pregnancy, particularly because none of the commonly used objective measures are predictive of adverse outcomes.<p /><p>Language: en</p>",
language="en",
issn="0002-9378",
doi="10.1016/j.ajog.2007.07.042",
url="http://dx.doi.org/10.1016/j.ajog.2007.07.042"
}