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Orthopaedic Injury: High Risk to Pregnant Women
Date:2/25/2009

New study finds even minor orthopaedic trauma can lead to medical problems for pregnant women and their unborn children

LAS VEGAS, Feb. 25 /PRNewswire-USNewswire/ -- Pregnant women who experience orthopaedic trauma may minimize the risk of preterm birth and other prenatal complications if they receive care at a medical center equipped to treat both high-risk pregnancies and orthopaedic injuries, according to a study presented today at the 2009 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) (http://www.aaos.org/) . The study reveals that even seemingly minor orthopaedic trauma can have an adverse affect on pregnancy.

"Our results suggest that pregnant women with orthopaedic injuries, regardless of the severity of the injury, experience a significant increase in adverse pregnancy outcomes," said Lisa K. Cannada, M.D., lead author of the study and associate professor at the St. Louis University Department of Orthopaedic Surgery.

Although trauma is clearly a complication with major issues for pregnant women and their infants, Dr. Cannada said most orthopaedic studies have focused on the impact of pelvic injuries on pregnancy. This study sought to examine the effects of all orthopaedic traumas on pregnancy outcomes.

"Pelvic injuries, of course, carry the highest risks, because they're often associated with abdominal injury," Dr. Cannada noted. "The interesting thing we learned in this study is that all trauma-related orthopaedic injuries pose a risk to pregnancy."

Dr. Cannada and her team, with Dr. Brian Casey in the Department of Obstetrics and Gynecology, conducted a retrospective study of 1,067 pregnant women who were treated at Parkland Memorial Hospital in Dallas between 1995 and 2007, including 65 women who had experienced trauma-related ortho
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SOURCE American Academy of Orthopaedic Surgeons
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