Fetal trauma: Relation to maternal injury

Diana L Farmer, N. Scott Adzick, William R. Crombleholme, Timothy M. Crombleholme, Michael T. Longaker, Michael R. Harrison

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

Conventional surgical wisdom is that fetal death is a predictable, consequence of severe maternal injury. In order to define the natural history of maternal-fetal trauma and better formulate management strategies, we reviewed our recent experience with 32 cases of maternal trauma at a major trauma center. There were three cases of fetal death; two were associated with severe maternal injury, but one had no significant injury to the mother. All cases had placental injury. Conversely, there were five cases of severe maternal trauma but only two unsuccessful pregnancy outcomes. We conclude that the extent of maternal injury does not necessarily correlate with the degree of fetal injury. Lethal placental or direct fetal injury can occur even in the absence of significant maternal injury. In selected cases, fetal salvage after maternal-fetal trauma may be achieved by early delivery and prompt pediatric surgical intervention.

Original languageEnglish (US)
Pages (from-to)711-714
Number of pages4
JournalJournal of Pediatric Surgery
Volume25
Issue number7
DOIs
StatePublished - 1990
Externally publishedYes

Keywords

  • fetal injury
  • Fetal trauma
  • maternal trauma
  • placental abruption

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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  • Cite this

    Farmer, D. L., Adzick, N. S., Crombleholme, W. R., Crombleholme, T. M., Longaker, M. T., & Harrison, M. R. (1990). Fetal trauma: Relation to maternal injury. Journal of Pediatric Surgery, 25(7), 711-714. https://doi.org/10.1016/S0022-3468(05)80002-8