Maternal Mortality Due to Trauma

Maternal mortality is an important indicator of adequacy of health care in our society. Improvements in the obstetric care system as well as advances in technology have contributed to reduction in maternal mortality rates. Trauma complicates up to 7% of all pregnancies and has emerged as the leading...

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Vydané v:Seminars in perinatology Ročník 36; číslo 1; s. 60 - 67
Hlavní autori: Romero, Vivian Carolina, Pearlman, Mark
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States Elsevier Inc 01.02.2012
Predmet:
Accidental Falls - mortality
Accidents, Traffic - mortality
Burns - mortality
Critical Care - organization & administration
Critical Care - standards
domestic violence
Drowning
Female
Fetal Monitoring
Homicide
Humans
maternal death
Maternal Mortality
motor vehicle crashes
Neonatal and Perinatal Medicine
Pregnancy
Pregnancy Complications
Suicide
Transportation of Patients - organization & administration
Transportation of Patients - standards
trauma in pregnancy
United States - epidemiology
Wounds and Injuries - mortality
United States
maternal death
domestic violence
motor vehicle crashes
maternal mortality
trauma in pregnancy
ISSN:0146-0005, 1558-075X, 1558-075X
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Shrnutí:Maternal mortality is an important indicator of adequacy of health care in our society. Improvements in the obstetric care system as well as advances in technology have contributed to reduction in maternal mortality rates. Trauma complicates up to 7% of all pregnancies and has emerged as the leading cause of maternal mortality, becoming a significant concern for the public health system. Maternal mortality secondary to trauma can often be prevented by coordinated medical care, but it is essential that caregivers recognize the unique situation of providing simultaneous care to 2 patients who have a complex physiologic relationship. Optimal management of the pregnant trauma victim requires a multidisciplinary team, where the obstetrician plays a central role. This review focuses on the incidence of maternal mortality due to trauma, the mechanisms involved in traumatic injury, the important anatomic and physiologic changes that may predispose to mortality due to trauma, and finally, preventive strategies that may decrease the incidence of traumatic maternal death.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0146-0005
1558-075X
1558-075X
DOI:10.1053/j.semperi.2011.09.012