Antenatal traumatic brain injury secondary to maternal motor vehicle accident
Trauma is thought to complicate 1 in 12 pregnancies. The management of trauma during pregnancy requires special consideration because pregnancy alters maternal physiology and the foetus is a potential collateral victim. The approach of these cases in the setting of the Emergency Department sho...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20623/ http://journalarticle.ukm.my/20623/1/22_ms0230_pdf_18139.pdf |
| Summary: | Trauma is thought to complicate 1 in 12 pregnancies. The management of trauma
during pregnancy requires special consideration because pregnancy alters
maternal physiology and the foetus is a potential collateral victim. The approach
of these cases in the setting of the Emergency Department should not only be
diagnostic for any foetal injuries but also prognostic for any future undue outcome.
Antenatal traumatic brain injury is a rare but real complication of maternal blunt
force trauma. Our case involves a 22-year-old primigravida who suffered a motor
vehicle accident and on initial assessment revealed normal foetal assessment butsubsequently after premature labour revealed a new born with traumatic brain
injury. Early ultrasonographic evaluation and observational period with continuous
electronic foetal monitoring may improve the detection and emergent treatment
in these cases. |
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