TY  - CHAP
M1  - Book, Section
TI  - Third-Trimester Blunt Abdominal Trauma
A1  - Dooley-Hash, Suzanne
A1  - Knoop, Kevin J.
A2  - Knoop, Kevin J.
A2  - Stack, Lawrence B.
A2  - Storrow, Alan B.
A2  - Thurman, R. Jason
PY  - 2021
T2  - The Atlas of Emergency Medicine, 5e
AB  - Trauma  is  a  major  cause  of  maternal  and  fetal  mortality.  In  addition  to  injuries  to  abdominal  organs  seen  in  nonpregnant  patients,  preterm  labor,  fetal-maternal  hemorrhage,  uterine  rupture,  and,  most  importantly,  abruptio  placentae  may  result  from  blunt  trauma  during  pregnancy.  Abruptio  placentae,  the  premature  separation  of  the  placenta  from  the  site  of  uterine  implantation,  is  found  in  up  to  50%  of  major  blunt  trauma  patients  and  up  to  5%  of  those  with  apparent  minor  injuries.  Signs  of  uterine  hyperactivity  and  fetal  distress  are  commonly  seen  when  significant  placental  detachment  occurs.  Most  patients  have  vaginal  bleeding,  but  up  to  20%  will  present  with  little  or  no  external  bleeding  when  the  margins  of  detachment  are  above  the  cervical  os.  
SN  - 
PB  - McGraw-Hill
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1181041739
ER  -