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Sign Up Now. Previous: Pharmacologic Prevention of Osteoporotic Fractures. Next: Management of Acute Nasal Fractures. Oct 1, Issue. Blunt Trauma in Pregnancy. Electronic Fetal Monitoring Continuous electronic fetal monitoring after trauma is the current standard of care with a viable fetus.
Ultrasonography Ultrasonography misses 50 to 80 percent of placental abruptions 9 , 11 , 20 , 31 but rapidly and safely determines fetal heart tone, placental location, gestational age, and amniotic fluid index. Laboratory Studies After trauma occurs in a pregnant woman, the complete blood count, blood type, and Rhesus factor Rh status should be determined. Radiography Patients and physicians commonly are concerned about fetal exposure to radiation, but adverse effects are unlikely at less than 5 to 10 radiation-absorbed doses rads.
Other Procedures If needed, open diagnostic peritoneal lavage, in which the peritoneum is visualized directly, is safe and accurate in pregnant women. Medications Medications used in trauma may have fetal effects, although most are pregnancy category B or C.
Perimortem Cesarean Section Perimortem cesarean section rarely is required 14 but is performed in the patient with a viable fetus who has been unsuccessfully resuscitated for four minutes. Prevention Despite advances in trauma management, the fetal and maternal mortality rates after traumatic injury have not declined.
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Maternal history of alcohol use. Maternal smoking history. Systolic blood pressure. Even though these losses are at a very early stage, "women are looking for validation for them", Dr Farren says. Being told it's "only a bag of cells" is not always helpful. The study recommends that women who have miscarried are screened to find out who is most at risk of psychological problems. Counselling and support will help many women, but those with symptoms of PTS need specific treatment if they are going to recover, the research says.
This can range from cognitive behavioural therapy CBT to medication, and should be given by a qualified professional. An earlier, smaller study from found that early pregnancy loss could trigger symptoms of post-traumatic stress. Miscarriage can trigger PTSD - doctors. Diabetes drug 'may help prevent a miscarriage'.
The Miscarriage Association- Pregnancy loss information and support. Miscarriage - NHS. Image source, Toni Edwards.
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