TY  - JOUR
PY  - 1990//
TI  - Evaluation of blunt abdominal trauma in the third trimester of pregnancy: maternal and fetal considerations
JO  - Obstetrics and gynecology
A1  - Williams, J. K.
A1  - McClain, L.
A1  - Rosemurgy, A. S.
A1  - Colorado, N. M.
SP  - 33
EP  - 37
VL  - 75
IS  - 1
N2  - With the active life-style of today's pregnant women, the effects of trauma have become an important obstetric concern. A protocol was developed to monitor pregnancies complicated by major blunt abdominal trauma in the third trimester, looking specifically for delayed placental and/or fetal problems. Of the 84 pregnancies studied, the most serious complication was placental abruption. Although abruption occurred in only two cases, one case was associated with a ruptured uterus and fetal death. There were no cases of delayed abruption or delayed fetal compromise. The most common complication was preterm labor, occurring in 28% of cases when the traumatic insult happened before 37 weeks' gestation. Of these 17 patients, 15 were successfully treated with tocolysis. There were no cases of direct fetal injury or Rh-isoimmunization. A revised protocol is recommended for limited outpatient observation with nonstress testing and screening ultrasonography to rule out preterm labor and placental abruption and to document fetal well-being.<p /> <p>Language: en</p>
LA  - en
SN  - 0029-7844
UR  - http://dx.doi.org/
ID  - ref1
ER  -