TY  - CHAP
M1  - Book, Section
TI  - Trauma and Pregnancy
A1  - Harris, Cathleen
A2  - Foley, Michael R.
A2  - Strong, Jr., Thomas H.
A2  - Garite, Thomas J.
PY  - 2015
T2  - Obstetric Intensive Care Manual, 4e
AB  - Trauma  is  a  major  cause  of  maternal  and  fetal  morbidity  and  mortality.  The  incidence  of  trauma  during  pregnancy  has  been  estimated  to  be  3%  to  8%.  In  2002,  there  were  16,982  injury  hospitalizations  of  pregnant  women  in  the  United  States,  which  corresponds  to  4.1  per  1000  deliveries.1  However,  many  more  women  seeking  care  for  injuries  do  not  require  inpatient  care.  A  study  of  295  women  with  injuries  during  2001  to  2005  showed  that  52%  were  discharged  from  the  emergency  department  (ED),  and  only  18%  were  admitted  to  the  trauma  service.2  In  one  study,  1  in  7  pregnant  women  sought  care  for  injury  in  Massachusetts  during  2002  to  2003.  For  some  subgroups,  the  rate  was  as  high  as  1  in  4.3  Analysis  using  American  College  of  Surgeons  National  Trauma  Data  Bank  (NTDB)  confirmed  that  pregnant  patients  tend  to  be  younger,  less  severely  injured,  and  more  often  black  or  Hispanic  when  compared  to  nonpregnant  controls.  Twenty  per  cent  of  pregnant  patients  tested  positive  for  drugs  or  alcohol,  and  1  in  3  involved  in  motor  vehicle  crashes  (MVCs)  did  not  use  seat  belts.4  Other  studies  agree  that  trauma  is  more  common  among  adolescents,  black  women,  those  with  public  insurance,  less  than  high  school  education,  substance  abuse,  or  lack  of  safety  restraints.3,5  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - obgyn.mhmedical.com/content.aspx?aid=1115791248
ER  -