Obstetric Trauma for Certified Emergency Nursing (CEN)
Included In This Lesson
Outline
Obstetric Trauma
Definition/Etiology:
Trauma occurs in 6-8% of pregnancies. Top 3:
- Intimate partner violence (8.307/100,000 live births)
- MVC (207/100,000 live births)
- Falls (49/100,000 live births)
Pathophysiology:
- After 12 weeks gestation, the uterus begins to expand above the pelvis, and is more vulnerable.
- Uterine blood flow is as high as 600 mL/minute in the third trimester and not autoregulated, thus a decrease in maternal systolic blood pressure can cause a significant fall in blood flow, and in turn, fetal oxygenation.
- Cardiac output and heart rate go up during pregnancy.
- Temporary EKG changes and a new cardiac murmur are common during pregnancy.
- Plasma volume increases more than RBC volume during pregnancy, so this creates a dilutional drop in hemoglobin and hematocrit.
Clinical Presentation:
If uterine fundus is at or below the umbilicus, then <20 weeks. If above, then >20 weeks.
22-23 weeks is the youngest considered viable.
Possible presentations due to trauma:
- Premature rupture of membranes
- Preterm labor
- Placental abruption
- Miscarriage
- Fetal injury or death
- Maternal death
- All of the presentations of non-pregnant patients
If maternal hypovolemic shock, coma, exploratory laparotomy, then fetal death is at least 40-50%.
Collaborative Management:
Consult OB during resuscitation so they can help determine if emergency cesarean is indicated:
- To save the fetus (>24 weeks) in the setting of imminent maternal death or a fetal heart rate tracing predictive of fetal acidosis.
- Save the mother’s life if CPR has not been effective within four minutes, regardless of gestational age.
Liberal use of maternal oxygen supplementation.
The gravid uterus compresses the inferior vena cava when supine, and decreases the return of blood to the heart. It’s important to tilt a spinal board 30 degrees if possible during resuscitation.
Monitor fetal heart rate. Normal is 110-160 bpm.
Medications:
- Tetanus immunization is OK to give during pregnancy if a wound requires it.
- If mom is Rh-negative, she may need to receive anti-D immune globulin (RhoGam) because a fetomaternal infusion of blood can occur during trauma.
- All of the same medications in the preterm labor lecture.
Labs:
- Urine drug screen
- Rh-D
- CBC, CMP, Coags
Imaging:
- Ultrasound / FAST exam
- MRI preferred since no radiation, but CT is faster. Decision is case-by-case.
Evaluation | Patient Monitoring | Education:
ACOG recommends using seat belts and airbags. Lap belt should go under uterus, and shoulder belt should go above uterus and between breasts.
- Continuous maternal NIBP, cardiac, and SaO2 monitoring
- Continuous fetal heart rate monitoring
- Liberal use of maternal oxygen supplementation
- Collaborate with L&D team
Linchpins: (Key Points)
- Liberal use of supplemental oxygen.
- Roll pregnant patient 30 degrees laterally to offset the uterus from the inferior vena cava.
- Normal fetal heart rate is 110-160 bpm.
- Call L&D team ASAP in case cesarean is needed.
Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Kilpatrick, S. J. (2021, September 9). Initial evaluation and management of major trauma in pregnancy. UpToDate. https://www.uptodate.com/contents/initial-evaluation-and-management-of-major-trauma-in-pregnancy
- Lockwood, C. J. (2022, October 13). Prenatal care: Patient education, health promotion, and safety of commonly used drugs. UpToDate. https://www.uptodate.com/contents/prenatal-care-patient-education-health-promotion-and-safety-of-commonly-used-drugs
Katies NCLEX
Concepts Covered:
- Test Taking Strategies
- Medication Administration
- Adult
- Emergency Care of the Cardiac Patient
- Microbiology
- Anxiety Disorders
- Depressive Disorders
- Nervous System
- Gastrointestinal Disorders
- Fundamentals of Emergency Nursing
- Dosage Calculations
- Understanding Society
- Circulatory System
- Concepts of Pharmacology
- Studying
- Newborn Care
- Adulthood Growth and Development
- Respiratory Disorders
- Pregnancy Risks
- Neurological
- Postpartum Complications
- Substance Abuse Disorders
- Bipolar Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Tissues and Glands
- Factors Influencing Community Health
- Concepts of Population Health
- Community Health Overview
- Developmental Considerations
- Communication
- Legal and Ethical Issues
- Cardiovascular
- Emergency Care of the Neurological Patient
- Emergency Care of the Respiratory Patient
- Emergency Care of the Trauma Patient
- Delegation
- Multisystem
- Health & Stress
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Trauma-Stress Disorders
- Developmental Theories
- Concepts of Mental Health
- Gastrointestinal
- Newborn Complications
- Labor Complications
- Fetal Development
- Terminology
- Labor and Delivery
- Postpartum Care
- Prefixes
- Suffixes
- Proteins
- Statistics
- Med Term Basic
- Med Term Whole
- Cardiac Disorders
- Preoperative Nursing
- Intraoperative Nursing
- Vascular Disorders
- Noninfectious Respiratory Disorder
- Upper GI Disorders
- Central Nervous System Disorders – Brain
- Shock
- Immunological Disorders
- Postoperative Nursing
- Perioperative Nursing Roles
- Hematologic Disorders
- Disorders of Pancreas
- Neurological Trauma
- Neurological Emergencies
- Musculoskeletal Trauma
- EENT Disorders
- Peripheral Nervous System Disorders
- Respiratory Emergencies
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of the Thyroid & Parathyroid Glands
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Respiratory
- Acute & Chronic Renal Disorders
- Disorders of the Adrenal Gland
- Documentation and Communication
- Oncology Disorders
- Female Reproductive Disorders
- Cognitive Disorders
- Renal Disorders
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Integumentary Disorders
- Urinary Disorders
- Integumentary Disorders
- Musculoskeletal Disorders
- Disorders of Thermoregulation
- Basics of NCLEX
- Integumentary Important Points
- Urinary System
- Neurologic and Cognitive Disorders
- Central Nervous System Disorders – Spinal Cord
- Renal and Urinary Disorders
- Respiratory System
- Infectious Disease Disorders
- EENT Disorders
- Eating Disorders
- Personality Disorders
- Psychological Emergencies
- Somatoform Disorders
- Prioritization
- Hematologic Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Endocrine and Metabolic Disorders
- Oncologic Disorders
- Behavior
- Emotions and Motivation
- Growth & Development
- Intelligence and Language
- Psychological Disorders
- State of Consciousness
- Basics of Sociology
- Note Taking
- Basics of Human Biology