Please enable JavaScript.

Coggle requires JavaScript to display documents.

Trauma in Pregnancy - Coggle Diagram

- - - - Loss of palpable uterine contour or palpation of fetal parts
      - Accounts for less than 1% of all injuries
      - More likely to occur during late second and third trimesters
      - Associated with direct and forceful impact on uterus
      - Fetal mortality rate is high
    - - Abdominal pain
      - Abdominal and uterine tenderness
      - Painful vaginal bleeding
      - Tetanic uterine contractions
      - Severe abruption can occur without these signs
    - - Identifies injuries of lower genital tract, vaginal bleeding, and rupture of amniotic membranes
      - Test vaginal fluid with pH paper
      - pH of 7 suggests amniotic fluid
      - pH of 5 is consistent with vaginal secretions
      - Evidence of ferning suggests membrane rupture and amniotic fluid leak
- - - - Account for 50% of pregnancy-related trauma
      - Placental abruption can occur even with low-speed deceleration crashes
      - Best predictors of fetal loss or adverse outcomes
        
        Crash severity
        
        Lack or improper use of seat belts
      - Seat belt and air bag guidance
        
        Lap belt should be worn under the gravid uterus
        
        Lap belt position: across both anterior superior iliac spines and pubic symphysis
        
        Shoulder harness positioned snugly between breasts and off to the side of the uterus
        
        Mother seated 10 inches from the dash and steering column
    - - Occur most frequently during second and third trimesters
      - Weight gain affects balance and coordination
      - Twenty-seven percent of women fall at least once during pregnancy
      - Vast majority occur indoors or on stairs
    - - Three percent to 9% of pregnant women are abused during pregnancy
      - Consider intimate partner violence in all cases of trauma
      - Use screening tools
      - Provide social services consultation or referral if safety concern exists
  - - - Second only to maternal death as most common cause of fetal death
      - Associated with minor maternal injuries and sudden fetal demise
      - May stimulate disseminated intravascular coagulation
      - May stimulate amniotic fluid embolism