RT Book, Section
A1 Vaught, Arthur Jason
A1 Deering, Shad
A1 Harris, Cathleen
A2 Foley, Michael R.
A2 Strong, Jr, Thomas H.
A2 Garite, Thomas J.
SR Print(0)
ID 1152537588
T1 Trauma and Pregnancy
T2 Obstetric Intensive Care Manual, 5e
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9781259861758
LK obgyn.mhmedical.com/content.aspx?aid=1152537588
RD 2024/04/19
AB Trauma  is  a  major  cause  of  maternal  and  fetal  morbidity  and  mortality  in  the  United  States.*  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  Although  many  women  with  traumatic  injury  do  not  have  prolonged  hospital  stays,  it  is  still  a  major  cause  of  nonobstetric  maternal  mortality.2,3  Aside  from  an  already  high  incidence,  there  is  major  cause  that  maternal  trauma  is  a  major  health  disparity.  Analysis  using  American  College  of  Surgeons  National  Trauma  Data  Bank  (NTDB)  confirmed  that  although  pregnant  patients  tend  to  be  younger,  less  severely  injured,  they  were  more  often  black  or  Hispanic  when  compared  to  nonpregnant  controls.  Twenty  percent  of  pregnant  patients  tested  positive  for  drugs  or  alcohol,  and  one  in  three  involved  in  motor  vehicle  crashes  (MVCs)  did  not  use  or  had  a  misuse  of  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.5,6