What are clinical indicators of obstetric trauma?

Changes in resting heart rate, blood pressure and cardiac output may mask signs of hypovolemia, and pregnant women can experience blood loss of up to 30% of their circulating volume without significant changes or visible clinical signs. The first sign of maternal shock may be fetal distress.

What is the definition of birth trauma?

‘Birth trauma’ is distress experienced by a mother during or after childbirth. While trauma can be physical (see Birth injury), it is often emotional and psychological. Birth trauma is not just about what happened during labour and the birth.

What causes trauma during pregnancy?

Motor vehicle crashes, domestic violence, and falls are the most common causes of blunt trauma during pregnancy. All pregnant patients with traumatic injury should be assessed formally in a medical setting because placental abruption can have dire fetal consequences and can present with few or no symptoms.

What is abdominal trauma in pregnancy?

Blunt abdominal trauma is the leading type of traumatic injury in pregnancy, with motor vehicle crashes, falls, and assault being the most common etiologies. Several adverse outcomes can occur in pregnancy, including placental abruption, preterm labor and preterm delivery, uterine rupture, and pelvic fracture.

What is obstetric injury?

Obstetric anal sphincter injuries (OASIS) are complications that occur during vaginal delivery. Also referred to as third- and fourth-degree perineal lacerations, these injuries involve the anal sphincter complex and, in more severe cases, anal mucosa.

What do obstetrics mean?

Obstetrics (the OB) involves care during pre-conception, pregnancy, childbirth, and immediately after delivery. Gynecology (the GYN) involves care of all women’s health issues.

What is mean trauma?

Trauma is the response to a deeply distressing or disturbing event that overwhelms an individual’s ability to cope, causes feelings of helplessness, diminishes their sense of self and their ability to feel a full range of emotions and experiences. It does not discriminate and it is pervasive throughout the world.

What is a birth trauma and what are some causes?

It can be caused by many things, including fetal oxygen deprivation, trauma from impact during delivery, premature birth, medical negligence, and more. These injuries can impair the baby’s internal systems, with impacts ranging from mild bruising and lacerations to permanent injury or lifelong disability.

What is maternal injury?

A variety of errors can lead to injuries that can alter a mother’s health for years to come. That includes uterine rupture, infections, vaginal tears, anal fissures, episiostomy and excessive bleeding, C-sections, preeclampsia and negative reactions to epidurals and anesthesia. Maternal Injuries and Their Consequences.

What is obstetric abuse?

If you haven’t yet come across this term “obstetric violence,” let me first start by defining it: obstetric violence is the physical, sexual, and/or verbal abuse, bullying, coercion, humiliation, and/or assault that occurs to laboring and birthing people by medical staff, including nurses, doctors, and midwives.

What is an obstetric registrar?

Doctors hoping to become specialists in O&G have an interest in pregnancy, childbirth and the reproductive health of women. During specialist training doctors are known as registrars and are a key part of the clinical team. They see patients in clinics and perform procedures under the supervision of senior doctors.

Is there an obstetric trauma guideline for Victoria?

This obstetric trauma guideline provides evidence-based advice on the initial management and transfer of major trauma patients who present to Victorian health services with obstetric trauma. This guideline is developed for all clinical staff involved in the care of trauma patients in Victoria.

What are the different types of trauma in pregnancy?

Pregnancy specific complications to be considered in trauma include the following: Placental abruption Cardiorespiratory arrest Labour and birth Preterm labour Spontaneous abortion Uterine rupture Pelvic fractures Haemorrhage and shock OBSTETRIC TRAUMA GUIDELINE Version 1.0 – 25/09/2014 Obstetric Trauma Guideline Page 6 of 31

How does abdominal trauma affect a pregnant woman?

Pregnancy is a hypercoagulable state that leads to increased risk of clot formation or DIC with certain kinds of trauma. Abdominal trauma may cause placental abruption or intrauterine death, leading to DIC. Average fibrinogen level in pregnancy is 450 mg/dl. Respiratory.

What should you do if you have trauma during pregnancy?

The Kleihauer-Betke test should be performed in all pregnant women who sustain major trauma. Perimortem cesarean delivery after cardiac arrest may improve neonatal and maternal outcomes, and is not harmful. Pregnant women who are occupants in motor vehicles should wear lap and shoulder seat belts, and should not turn off air bags.