Obstetric Blunt Trauma
Blunt abdominal trauma is pregnancy (ie, falls and motor vehicle accidents): Given the wide range in severity and presentation of “blunt trauma during pregnancy,” this document should be interpreted as a guideline for consideration in the management of the clinically stable parturient presenting after a fall or MVA. Variation in care plan should be made on an individual basis after clinical assessment.
* Kleihauer Betke (KB) tests are run by Special Hematology and will be read upon receipt between 9 AM and 3 PM; if they are received outside that window, however, they will be bundled for read the next day.
Selected references
Pearlman MD, Tintinalli JE, Lorenz RP. Blunt trauma during pregnancy. N Engl J Med. 1990 Dec 6;323(23):1609-13.
Chames MC, Pearlman MD. Trauma during pregnancy: outcomes and clinical management. Clin Obstet Gynecol. 2008 Jun;51(2):398-408.
Pearlman MD, Tintinallli JE, Lorenz RP. A prospective controlled study of outcome after trauma during pregnancy. Am J Obstet Gynecol. 1990 Jun;162(6):1502-7; discussion 1507-10.
Luley T, Fitzpatrick CB, Grotegut CA, Hocker MB, Myers ER, Brown HL. Perinatal implications of motor vehicle accident trauma during pregnancy: identifying populations at risk. Am J Obstet Gynecol. 2013 Jun;208(6):466.e1-5.
Brown HL. Trauma in pregnancy. Obstet Gynecol. 2009 Jul;114(1):147-60.
Related Pages
- Antenatal Corticosteroid Use <34 weeks Gestation
- Antenatal Corticosteroid Use at 34-36 6/7 weeks
- Antibiotic Prophylaxis in Obstetric Procedures
- Delayed Cord Clamping for Newborns
- Diabetic Ketoacidosis
- Endometritis
- Fetal Death / Live Birth Reporting Requirements
- GBS Guidelines
- Hypertensive Disorders of Pregnancy
- Intra-amniotic Infection
- Kleihauer Betke Assay Interpretation
- Magnesium Sulfate for Neuroprotection
- Management of the Third Stage of Labor and Prevention of Postpartum Hemorrhage
- Obstetric Blunt Trauma
- Obstetric Postoperative Venous Thromboembolism Prophylaxis Guidelines
- Placental Examination
- Postpartum Hemorrhage at Vaginal Delivery
- Postpartum Hemorrhage Bundle
- Immediate Postpartum (Post-Placental) IUD Placement
- Management of Second and Third Trimester Pregnancy Loss
- IUFD Checklist – TO BE PLACED ON PATIENT’S CHART
- Preterm PROM
- Pyelonephritis during Pregnancy
- Thromboembolism in Pregnancy