Fracture Management in the Pregnant Patient

  • Erich SorantinEmail author
  • Nima Heidari
  • Karin Pichler
  • Annelie-Martina Weinberg


Trauma in pregnancy is an uncommon but challenging problem. There are two patients involved, the mother and the foetus. The best management for the foetus is delivered through appropriate management of the mother. The alterations of the maternal anatomy and physiology must be taken into account. Signs of foetal distress may be the initial indication of maternal blood loss and compromise. Life-saving intervention and investigations should be carried out without compromise. Detailed knowledge of the cumulative dose received by the patient is essential for all decisions in management. There is little exposure of the foetus in limb radiographs.

Fractures should be treated much in the same way as in the non-pregnant patient. Use of minimally invasive techniques of fracture reduction and fixation or other techniques dependent on intraoperative imaging is not advocated in the pregnant patient. The management of the pregnant trauma patients requires the early involvement of trauma surgeon, obstetrician and radiologist.


Pregnant Patient Nephrogenic Systemic Fibrosis Placenta Previa Placental Abruption Gravid Uterus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Erich Sorantin
    • 1
    Email author
  • Nima Heidari
    • 2
  • Karin Pichler
    • 3
    • 4
  • Annelie-Martina Weinberg
    • 5
  1. 1.Department of RadiologyMedical University of GrazGrazAustria
  2. 2.Centre for OrthopaedicsRoyal London Hospital, Barts Health NHS TrustLondon, EnglandUK
  3. 3.Department of Orthopedic SurgeryMedical University of GrazGrazAustria
  4. 4.Department of Orthopedic SurgeryMedical University of InnsbruckInnsbruckAustria
  5. 5.Department of Orthopedic SurgeryMedical University of GrazGrazAustria

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