TY  - JOUR
PY  - 2013//
TI  - Trauma in pregnancy: an updated systematic review
JO  - American journal of obstetrics and gynecology
A1  - Mendez-Figueroa, Hector
A1  - Dahlke, Joshua D.
A1  - Vrees, Roxanne A.
A1  - Rouse, Dwight J.
SP  - 1
EP  - 10
VL  - 209
IS  - 1
N2  - We reviewed recent data on the prevalence, risk factors, complications and management of trauma during pregnancy. Using the terms "trauma" and "pregnancy" along with specified mechanisms of injury, we queried the Pubmed database for studies reported from January 1 (st), 1990 to May 1 (st), 2012. Studies with the largest number of patients for a given injury type and which were population-based and/or prospective were included. Case reports and case series were used only when more robust studies were lacking. A total of 1,164 abstracts were reviewed and 225 met criteria for inclusion. Domestic violence/intimate partner violence and motor vehicle crashes are the predominant causes of reported trauma during pregnancy. Management of trauma during pregnancy is dictated by its severity and should be initially geared towards maternal stabilization. Minor trauma can often be safely evaluated with simple diagnostic modalities. Pregnancy should not lead to under diagnosis or under treatment of trauma due to unfounded fears of fetal effects. More studies are required to elucidate the safest and most cost-effective strategies for the management of trauma in pregnancy.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-9378
UR  - http://dx.doi.org/10.1016/j.ajog.2013.01.021
ID  - ref1
ER  -