Presentation
While fetal anal injury in undiagnosed breech presentation is uncommon, it has the potential to be a life-changing injury. [magonlinelibrary.com]
The majority of patients in the present study had MVC as the method of trauma, but assault is a significant factor related to fetal EDH or SDH. [thejns.org]
Features nearly 2,500 illustrations - 2,350 in full color - which depict each abnormality or condition as they present in practice. Presents practical information on autopsy techniques and protocols. [books.google.es]
The authors present a case of blunt prenatal trauma resulting in a fetal SDH, intraparenchymal hematoma, and intraventricular hemorrhage, and perform a systematic review of the literature. [experts.umich.edu]
Entire Body System
- Falling
[…] potentially affect the CNS and fetal motility... read more Mentioned in this Paper Wounds and Injuries Motility Hypoxia-Ischemia, Brain Discipline of Obstetrics Fetal Ultrasonography Cell Differentiation Process Infant Development Sequelae Aspects Accidental Falls [meta.org]
Most traumas were traffic accidents or falls, injuries were mainly minor. [research.vu.nl]
SLIPS & FALLS DURING PREGNANCY 34. [slideshare.net]
Results The most common mechanisms of trauma were ‘fall’ (n=33), RTA (n=15) and assault (n=11). [fn.bmj.com]
- Collapse
Aggressive IV fluids administration, since blood pressure and pulse are not a reliable indicator of impending cardiovascular collapse during pregnancy. [emdocs.net]
Topics Include: · Key brain circuitries that determine responses in the midst of sexual assault · Normal and brain-based but commonly misunderstood sexual assault experiences and behaviors · Freezing, tonic immobility, collapsed immobility, and dissociation [dcjs.virginia.gov]
Admission chest radiograph shows unsuspected collapse of the lower lobe of the left lung (arrowheads), which was probably secondary to aspiration. [pubs.rsna.org]
(Avoidance of intense emotional contacts, periodic leakage or loneliness) (e) Occasional episodes of depersonalization, and transient ego collapse. [omicsonline.org]
Management is conservative but should be considered in any neonate with unexplained collapse. Consider the possibility of a coagulation defect. [patient.info]
- Weakness
The Christian ethic, which calls the strong to make sacrifices for the weak, following Christ’s own example to us, leads to a strengthening of family and society, by combating discrimination and strengthening human virtues of patience, perseverance and [lifesitenews.com]
[…] so the reciprocal love between the disabled child and his parents and the care shown by professionals, families and churches can act as a catalyst for maturity and stability.’(11) The Christian ethic, which calls the strong to make sacrifices for the weak [cmfblog.org.uk]
Those who survive are weak and often develop spasticity. Diagnosis is by MRI or CT myelography. Treatment is supportive. Fractures Clavicle Fractured clavicle is common and presents with apparent paralysis. [patient.info]
This is because blood vessels in the brain of premature infants are not fully developed, and are therefore weak (2). Oxygen deprivation and birth trauma can also contribute to intraventricular hemorrhages (3, 4). [abclawcenters.com]
[…] or divergent eyes Total or partial inability to orient when confronted by new surroundings Too little tone or too much tension in their muscles Startle response to sound or movement Jerky arms, legs and head Involuntary shaking or tremors Constant, weak [beba.org]
- Infertility
These children had somehow the horror of torture-as state terrorism from their mothers after delivery being separated from them, and delivered by his captors to infertile couples, which generally hide their possible tort origin, especially from 1976 to [omicsonline.org]
- Pallor
Abdominal bleeding This presents with shock, pallor and a distended abdomen, possibly bluish in colour. Check for anaemia. Diagnose with paracentesis. Causes include hepatic laceration and rupture of spleen. [patient.info]
Gastrointestinal
- Abdominal Pain
Internal bleeding, severe abdominal pain and dizziness can result from a case of placental abruption. [saferide4kids.com]
Although she did not show genital bleeding or abdominal pain, symptoms characteristic of placental abruption, an immediate cardiotocogram and echogram revealed the placental abruption. [ci.nii.ac.jp]
Pregnant trauma patients (≥ 23 weeks) with adverse factors including uterine tenderness, significant abdominal pain, vaginal bleeding, sustained contractions (> 1/10 min), rupture of the membranes, atypical or abnormal fetal heart rate pattern, high risk [ncbi.nlm.nih.gov]
On arrival at the hospital, the patient had abdominal abrasions and abdominal pain. The fetus was viable with a heart rate of 150 beats per minute and remained so for the next 3½ hours. (a) Immediate spiral CT scan shows a liver laceration (arrow). [pubs.rsna.org]
The uterus displaces other organs and the abdomen feels tense, making it difficult to assess guarding or rigidity.5 Check for the location, type, intensity and radiation of any abdominal pain. [emsworld.com]
- Choking
In one such case that I treated, a baby who had been stuck during his birth was also locked in a closet for 24 hours as a child, and held and choked by his brother on several occasions. Several points are relevant here. [sfhelp.org]
[…] births, birth complications, and many other medical conditions as newborn regularly live the rest of their lives in fear of all growth and individuation. 53 For instance, one baby who was born with a congenital atresia of the esophagus, so that she choked [primal-page.com]
- Diarrhea
Diarrhea is seldom an indication of an acute surgical problem in the abdomen except as a symptom of recurrent ulcerative colitis. Physiologic changes in the GI tract during pregnancy increase the risk of aspiration during surgery and anesthesia. [emedicine.medscape.com]
- Severe Abdominal Pain
Internal bleeding, severe abdominal pain and dizziness can result from a case of placental abruption. [saferide4kids.com]
Musculoskeletal
- Contusion
Significant fetal injuries were limited to the head and included two instances of skull fracture associated with cortical lacerations and contusions. Six of the eight fetuses were stillborn, and the other two died during the first postnatal day. [ncbi.nlm.nih.gov]
Cerebellar hemorrhage and a small cerebral frontal contusion were seen on post-mortem MRI in a child with a major subarachnoidal hemorrhage on ultrasound. [lirias.kuleuven.be]
Majority of patients had no injuries (n=47); 2 women sustained a fracture and 10 sustained a sprain, abrasion or contusion. 24 women complained of symptoms including pain, reduced fetal movements, vaginal bleeding and contractions. [fn.bmj.com]
Eyes
- Retinal Hemorrhage
In one prospective study [ 14 ], all detected birth-related retinal hemorrhages resolved by 1 month of age [ 14 ]. [ncbi.nlm.nih.gov]
Fetus
- Spontaneous Rupture of Membranes
Typical signs of placental abruption—spontaneous rupture of membranes, vaginal bleeding and uterine tenderness—are infrequent after trauma.3 Uterine injury, either rupture or laceration, is very rare, but the outcome is nearly 100% fatal for the fetus [emsworld.com]
rupture of membranes, vaginal bleeding, and uterine tenderness, are infrequent after trauma. 4, 6, 9, 28 Although associated with maternal and fetal morbidity, 5, 20 these signs are only 52 percent sensitive and 48 percent specific for adverse fetal [aafp.org]
Neurologic
- Intracranial Hemorrhage
The average gestational age at discovery of intracranial hemorrhage was 30.1 weeks (range 24–39 weeks). [thejns.org]
In our cases, skull fracture, intracranial hemorrhage and hypoxic-ischemic encephalopathy were encountered. [ncbi.nlm.nih.gov]
- Headache
Severe or unrelenting and constant headaches. Pain in your abdomen. Persistent vomiting that is not connected to morning sickness. Chills or a fever. Noticeable change in the frequency or strength of your baby's movements. [parent24.com]
What to look for In general trauma to the fetus can be accompanied by: severe abdominal pain, urgent or painful urination, excessive vaginal bleeding, dizziness loss of consciousness, swelling of the mother’s face or fingers, chills or fever, severe headache [saferide4kids.com]
Workup
The specific topics discussed are prehospital management, potential effects of trauma, emergency department workup, diagnostic workup, and radiation exposure. [pubs.rsna.org]
Utility of ultrasound in noninvasive preoperative workup of neonatal brachial plexus palsy. Pediatr Radiol. 2016; 46 (5):695–703. doi: 10.1007/s00247-015-3524-4. [ PubMed ] [ CrossRef ] [ Google Scholar ] 29. Joseph JR, et al. [ncbi.nlm.nih.gov]
Treatment
Failure to observe proper observation or treatment protocols could result in further injury to the mother and child. If appropriate treatment protocols are not followed, this would be an indication of negligent staff, negligent monitoring or both. [melvinfirm.com]
Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual. [books.google.es]
Some of the many causes of fetal distress are: Failure by your health care provider to provide appropriate treatment Failure by your health care provider to evaluate the pregnancy as high-risk Misuse of delivery apparatuses, such as forceps Use of epidurals [wrshlaw.com]
Prognosis
Fortunately, most trauma experienced by pregnant individuals is minor and is associated with good prognosis for both the mother and her fetus. [ncbi.nlm.nih.gov]
Section, Echoencephalography, Female, Fetal Death, Humans, Hypoxia-Ischemia, Brain, Infant, Newborn, Leukomalacia, Periventricular, Magnetic Resonance Imaging, Multiple Trauma, Pregnancy, Pregnancy Trimester, Third, Prenatal Diagnosis, Prenatal Injuries, Prognosis [lirias.kuleuven.be]
The impact of seat belt use and air bag deployment on fetal health is poorly understood. 16 As suggested by earlier reports, there was an overall poor prognosis with fetal EDH or SDH. [thejns.org]
[…] dysfunction dysmorphic facies (wide-set eyes, thin philtrum) orthopaedic manifestations joint contractures hip dislocation congenital fusions of cervical spine congenital fusions of upper extremity congenital scoliosis pectus excavatum myelodysplasia Prognosis [orthobullets.com]
Neurosurgical nerve repair should be considered if movement is not returning after three months and electrophysiology results suggest a poor prognosis. [ 12 ] It may be possible to identify neonates with the worst prognosis at 1 month. [ 13 ] Cranial [patient.info]
Etiology
In 4% to 10% of cases, the etiology appears to be pure intrapartum hypoxia. Intrapartum hypoxia superimposed on antepartum risk factors may account for up to 25% of the moderate to severe encephalopathies, according to one cohort. [ncbi.nlm.nih.gov]
Pathology Etiology 90-95% relates to blunt trauma, and 5-10% refers to penetrating trauma 1,5. [radiopaedia.org]
On the contrary, not be like a traditional box or included in another taxonomy, convenience is justified by the need for a differential diagnosis, with a propaedeutic and specific treatment, and much more if we also have an etiological hypotheses. [omicsonline.org]
The collection of information in a large database, including demographic characteristics, etiology, Injury Severity Scores (ISSs), and treatment of pregnant trauma patients, may allow for more accurate predictions regarding outcome for injured pregnant [jamanetwork.com]
[…] intravenous therapy above diaphragm Aortocaval compression Early tracheal intubation; use short laryngoscope handle and smaller endotracheal tube Difficult ventilation with pharyngeal edema, breast hypertrophy, diaphragmatic elevation Consider other etiologies [aafp.org]
Epidemiology
A prospective, population-based study of the demographics, epidemiology, management, and outcome of out-of-hospital pediatric cardiopulmonary arrest. Ann Emerg Med. [books.google.it]
Introduction Syndrome of physical and mental developmental delays secondary to alcohol consumption during pregnancy Epidemiology incidence 1.9 per 1,000 births Associated conditions medical manifestations growth disturbances (before and after birth) central [orthobullets.com]
Many epidemiological studies have shown that a mother’s exposure to the influenza virus during the second trimester greatly increases the risk of the fetus developing schizophrenia as an adult. [latimes.com]
Epidemiology of Maternal Injuries during Pregnancy in a Population-Based Study, 1997-2005. [scirp.org]
Many epidemiological studies have shown that a mother's exposure to the influenza virus during the second trimester greatly increases the risk of the fetus developing schizophrenia as an adult. [articles.latimes.com]
Pathophysiology
Successful management of these patients requires a good understanding of pathophysiology, supplemented by adequate preparation, and the ability to react quickly to the changing circumstances. [joacc.com]
While the exact pathophysiology is unknown, pregnant women are more susceptible to symptomatic urinary tract infections. [emedicine.medscape.com]
It should be stressed that the most common cause of fetal death is maternal death, followed by placental abruption. 8,9,11-13 Clinical Pathophysiology In order to meet the challenges of managing a pregnant trauma patient, it is important to understand [ahcmedia.com]
Prevention
It can be estimated that delivery at 39 weeks EGA would prevent 2 fetal deaths per 1000 living fetuses. [ncbi.nlm.nih.gov]
These injuries are almost entirely preventable and you should not have to deal with them alone. Call 859-554-4727 for a free initial consultation with an experienced birth injury lawyer. [obrieninjurylaw.com]
While the research project was a Fetal Alcohol Spectrum Disorder (FASD) prevention project, the broader focus was on issues related to health and healing within a northern context in the NT from the perspective of northern women, and within the construct [journals.sfu.ca]
Our findings may suggest new avenues for early identification of at-risk individuals, as well as for th subsequent development and testing of prevention and intervention strategies to limit the intergenerational perpetuation of poor health and disadvantage [grantome.com]
Skip to content The FASD Prevention Conversation Project Many of the people we interact with every day have been affected by overwhelming stress or traumatic experiences. [edmontonfetalalcoholnetwork.org]