Pelvic Trauma and the Pregnant Patient: a Review of Physiology, Treatment Risks, and Options
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Purpose of Review
Pelvic trauma during pregnancy is an infrequent, but complex clinical scenario requiring immediate multidisciplinary care. This manuscript details epidemiology and pathophysiology, evaluation and treatment, as well as unique elements to the clinical scenario like radiation and anesthesia risks to the pregnant mother and fetus.
The priority of a multidisciplinary treatment team should be directed toward the mother, as prompt treatment gives both the fetus and mother the best possibility for a good outcome. Radiation risks during diagnostic and therapeutic treatments can be minimized with the appropriate measures. Most anesthesia agents are considered safe in clinical practice.
Orthopedic procedures must consider the morbidity of observation versus the risks of surgical intervention. Coordinated appropriate care will maximize the possibility of both the mother and fetus experiencing favorable results.
KeywordsPelvis fracture Fetal trauma Pregnancy Maternal pelvic trauma
Compliance with Ethical Standards
Conflict of Interest
The author declares no conflicts of interest relevant to this manuscript.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
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