| CASE REPORT |
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| Year : 2011 | Volume
: 3
| Issue : 1 | Page : 52-55 |
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Management of maternofetal emergency in shock with fracture of femur
Pradeep K Singh1, Deepti Shrivastva2, Snigdha Paddalwar3, Nagraj Shetty1, Vipin Raut1, Sarthak Patnaik1, Abhishek Yadav1
1 Department of Orthopaedics and Trauma, DMIMS, Wardha, India
2 Department of Obstetrics and Gynecology, DMIMS, Wardha, India
3 Department of Anesthesiology, DMIMS, Wardha, India
Correspondence Address:
Pradeep K Singh
Department of Orthopaedics and Trauma, Jawahar Lal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, DMIMS, Wardha 442 004
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/2006-8808.78477
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Trauma is the leading nonobstetric cause of maternal death. The worst complication can be fetal compromise that threatens premature labor or even fetal death. We are reporting a case of a 30-year-old primi, short stature woman who had fracture femur with hypovolaemic shock. Managing such trauma complicated by shock in a pregnant patient needs multidisciplinary approach. Clinician team evaluating and coordinating the care of pregnant trauma patient should understand the pathophysiological changes in pregnancy with trauma to manage hypovolaemic shock, related complications, treatment of fracture, and radiation exposure to the fetus. The use of imaging studies, invasive hemodynamics and surgery, if necessary, should be individualized. A clear understanding of fetal viability, physiological changes of pregnancy, and pathophysiology of shock, is mandatory for optimal, maternal functional, and obstetrical outcome. |
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