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Trauma in Pregnancy

Trauma in pregnancy is a high-risk emergency for both mother and fetus; the priority is always the mother.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Trauma in Pregnancy?

Trauma in pregnancy is assessed differently due to maternal physiological changes (increased cardiac output, respiratory alkalosis, increased blood volume) and anatomical changes (uterine enlargement, diaphragmatic elevation). The approach varies in each trimester of pregnancy.

Traffic accidents, falls, violence, and domestic abuse are the leading causes. Placental abruption, uterine rupture, premature delivery, and fetomaternal transfusion are specific complications.

The priority in management is the mother; maternal stabilization is also the best treatment for the fetus. Left lateral position after 20 weeks of pregnancy prevents vena cava compression.

Symptoms

Abdominal pain and uterine tenderness
Vaginal bleeding or fluid leak
Decreased fetal movements
Uterine contractions
Back pain and sciatica
Maternal signs of shock

Risk Factors

Not wearing or incorrect positioning of the seat belt
Domestic violence
Falls (in advanced pregnancy)
Work accidents
Traffic accidents
Often alcohol and substance use

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Every pregnancy trauma case requires hospital evaluation
  • Fetal monitoring should be performed even in minor trauma
  • At least 4 hours of cardiotocography is recommended above 20 weeks
  • Anti-D should be administered in Rh-negative women

Treatment Methods

01
ABCDE and left lateral position
02
High-flow oxygen
03
Isotonic fluid resuscitation
04
Kleihauer-Betke test and Rh prophylaxis
05
Cooperation between obstetric and trauma teams
06
Post-traumatic psychological support and abuse screening

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.