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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
1990-4-25
|
| pubmed:abstractText |
Two hundred five consecutive cases of noncatastrophic trauma occurring during the second half of pregnancy were evaluated prospectively. Pregnancy complications as a result of trauma occurred in 18 of 205 patients (8.8%): premature labor (n = 10), placental separation (n = 5), fetal injury (n = 1), and fetal death (n = 2). Multiple regression analysis of the data base showed obstetric findings (contractions, uterine tenderness, and bleeding) on presentation to be highly associated with complications (17/88; 19.3%). In their absence complications were rare (1/117; 0.9%). Detectable fetomaternal hemorrhage was significantly more common in trauma patients (18/205) than in control subjects (2/110) (p less than 0.01), but its role in managing trauma patients was limited to detection of rare massive hemorrhage (1/205) and detection of rare hemorrhage exceeding that covered by the standard Rho (D) immune globulin dose (2/205). Fetomaternal hemorrhage need not be quantitated in patients who lack obstetric findings on presentation. Despite rare reports of delayed abruptio placentae, it is doubtful that prolonged observation (greater than 2 to 3 hours) in the hospital is necessary in patients who lack obstetric findings on initial presentation.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Mar
|
| pubmed:issn |
0002-9378
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
162
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
665-71
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:2316567-Accidents, Traffic,
pubmed-meshheading:2316567-Adolescent,
pubmed-meshheading:2316567-Adult,
pubmed-meshheading:2316567-Female,
pubmed-meshheading:2316567-Fetomaternal Transfusion,
pubmed-meshheading:2316567-Humans,
pubmed-meshheading:2316567-Incidence,
pubmed-meshheading:2316567-Pregnancy,
pubmed-meshheading:2316567-Pregnancy Complications,
pubmed-meshheading:2316567-Pregnancy Outcome,
pubmed-meshheading:2316567-Spouse Abuse,
pubmed-meshheading:2316567-Wounds and Injuries
|
| pubmed:year |
1990
|
| pubmed:articleTitle |
Pregnancy outcome and fetomaternal hemorrhage after noncatastrophic trauma.
|
| pubmed:affiliation |
Department of Obstetrics and Gynecology, Maricopa Medical Center, Phoenix, Arizona.
|
| pubmed:publicationType |
Journal Article
|