TY  - JOUR
PY  - 2019//
TI  - Femoral fracture in pregnancy: a case series and review of clinical management
JO  - International journal of women's health
A1  - Harold, Justin A.
A1  - Isaacson, Erin
A1  - Palatnik, Anna
SP  - 267
EP  - 271
VL  - 11
IS  - 
N2  - Femoral fractures in pregnancy are a rare complication, with an incidence of approximately 1%. Case reports and small trials leave perioperative obstetric management and route of delivery largely unclear. Three cases of femoral fracture are presented that occurred at 24, 30, and 31 weeks of gestation. The causes of femoral fracture were gunshot, motor vehicle collision, and fragility fracture. All fractures were surgically repaired, 1 utilizing neuraxial anesthesia and the others with general anesthesia. A 30-day postoperative course of low-molecular-weight heparin was prescribed, and all patients subsequently had vaginal deliveries. Femoral fractures in the viable pregnancy confer high maternal and fetal morbidity and mortality. Intraoperative fetal monitoring and postoperative anticoagulation should be considered, and vaginal delivery should not be contraindicated.<p />  <p>Language: en</p>
LA  - en
SN  - 1179-1411
UR  - http://dx.doi.org/10.2147/IJWH.S198345
ID  - ref1
ER  -