Citation

Tarvonen M, Ulander VM, Süvari L, Teramo K. Duodecim 2011; 127(16): 1727-1731.

Vernacular Title

Vuoto sikiosta aitiin--joskus lievankin tapaturman vakava komplikaatio.

Affiliation

HYKS, Kätilöopiston sairaala.

Copyright

(Copyright © 2011, Laaeketieteellinen Aikakauskirja Duodecim)

DOI

unavailable

PMID

21972591

Abstract

The principal causes of trauma in pregnancy include falls, motor vehicle accidents and violence. Blunt trauma to the abdomen increases the risk of fetomaternal hemorrhage. Massive fetomaternal hemorrhage is a rare but severe complication which can result in fetal anemia, fetal hypoxia, intrauterine death or neonatal neurologic damage. This case report defines incidence and significance of fetomaternal hemorrhage and shows via two cases that even minor maternal injury can lead to severe fetomaternal hemorrhage and risk of fetal compromise. The most common symptoms of fetomaternal hemorrhage are decreased fetal activity and movements reported by the mother. The cornerstones of evaluation of the third trimester trauma patient after abdominal hit are adequate assessment, CTG monitoring and sonographic fetal surveillance.

Language: fi