Trauma in pregnancy TOG 2021 Flashcards
What % of pregnancys will experience trauma?
6-8%
Trauma accord for what % of death annually globally?
10%
Trauma can defined using what scale?
Injury Severity Scale
Minor < 9
Moderate 9-15
Major >15
How much more likely are pregnant women likely to dienthan non pregnant women from trauma?
1.6 X
Maternal/fetal risk for major trauma
Haemorrhage
Abruption
Uterine rupture
Disseminated intravascular coagulation
Pelvic/long bone fractures
Hysterectomy
Preterm labour
Death
Post-traumatic stress disorder/depression/anxiety
Fetal
PTB
Hypoxic brain injury
Death
Following motor vehicle accident >20/40, what % required immediate delivery
3.5%
Following motor vehicle accident >20/40, what other complications seen
58% PTB
25% abruption
61% C/S
31% prenatal death
In UK, what % women experience domestic abuse during pregnancy?
8%
2 x higher than non-pregnancy
at what % of total body surface area of burns is maternal and fetal mortality 100%
40%
What is the risk of death with fetal skull fracture?
42%
GCS below what score needs insertion of definite airway?
8%
Mortality of failed intubation in pregnant patients?
1%
After trauma, how does coagulopathy develop?
Trauma-induced coagulopathy
Trauma-assocaited coagulopathy
If unstable and out of keeping with visale blood loss?
Consider concealed bleed
- Hepatic or splenic rupture
- Abruption, uterine rupture, broad ligament haemoatoma
If major trauma and pregnant what imaging?
Whole body CT
