Management of maternofetal emergency in shock with fracture of femur

Trauma is the leading nonobstetric cause of maternal death. The worst complication can be fetal compromise that threatens premature labor or even fetal death. We are reporting a case of a 30-year-old primi, short stature woman who had fracture femur with hypovolaemic shock. Managing such trauma comp...

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Bibliographic Details
Published in:Journal of surgical technique and case report 2011-01, Vol.3 (1), p.52-55
Main Authors: Singh, Pradeep K, Shrivastva, Deepti, Paddalwar, Snigdha, Shetty, Nagraj, Raut, Vipin, Patnaik, Sarthak, Yadav, Abhishek
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Femur
Fractures
Health aspects
Mothers
Patient outcomes
Pregnant women
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Summary:Trauma is the leading nonobstetric cause of maternal death. The worst complication can be fetal compromise that threatens premature labor or even fetal death. We are reporting a case of a 30-year-old primi, short stature woman who had fracture femur with hypovolaemic shock. Managing such trauma complicated by shock in a pregnant patient needs multidisciplinary approach. Clinician team evaluating and coordinating the care of pregnant trauma patient should understand the pathophysiological changes in pregnancy with trauma to manage hypovolaemic shock, related complications, treatment of fracture, and radiation exposure to the fetus. The use of imaging studies, invasive hemodynamics and surgery, if necessary, should be individualized. A clear understanding of fetal viability, physiological changes of pregnancy, and pathophysiology of shock, is mandatory for optimal, maternal functional, and obstetrical outcome.
ISSN:2006-8808
0976-2825
DOI:10.4103/2006-8808.78477