Navigation Links
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 orthopaedic injuries, such as:

The study showed that, when compared to pregnant women with non-orthopaedic injuries, the pregnant women who experienced orthopaedic trauma were at greater risk for adverse pregnancy outcomes, including:

  • preterm birth
  • placental abruption
  • poor infant condition at birth
  • fetal death
  • death of the infant soon after birth

Dr. Cannada said one possible explanation for the increase in pregnancy complications may be that orthopaedic trauma often results from high-energy impact, such as car accidents, which may cause underlying damage to the placenta.

"Even an isolated fracture can be the result of a high-energy event, and the impact can have a significant influence over fetal outcome," she noted.

Dr. Cannada said results of the study clearly indicate that pregnant women who experience orthopaedic trauma benefit from treatment at a medical center equipped to handle high-risk pregnancies.

"If an orthopaedic surgeon (http://orthoinfo.aaos.org/topic.cfm?topic=A00099) is treating a trauma-related broken bone in a woman who is more than 20 weeks pregnant, we recommend the surgeon refer her to a high-risk obstetrician and consider having any surgery performed at the same center where the obstetrician is located," she said. "That way, both the trauma and any potential complications regarding the pregnancy can be more successfully addressed."

Disclosure: The authors did not receive anything of value related to this research.

Presentation information

http://www3.aaos.org/education/anmeet/anmt2009/podium/podium.cfm?Pevent=170

About AAOS

http://www6.aaos.org/news/Pemr/releases/release_boiler.cfm?category=40&releasenum=735

http://www.orthoinfo.org/

    CONTACT:
    Catherine Dolf
    C (847) 894-9112 or O (847) 384-4034
    dolf@aaos.org

    Lauren L. Pearson
    C (224) 374-8610 or O (847) 384-4031
    lpearson@aaos.org


'/>"/>
SOURCE American Academy of Orthopaedic Surgeons
Copyright©2009 PR Newswire.
All rights reserved

Related medicine technology :

1. Children and Orthopaedic Surgical Emergencies
2. American Academy Of Orthopaedic Surgeons 2009 Annual Meeting Highlights and Hot Topics
3. Childrens Hospital Receives $6.7 Million Grant From Gates Foundation to Study Influenza Vaccine in Pregnant Women in Asia
4. Thrombosis Guidelines Emphasize Difficult Choices for Pregnant Women
5. Pregnant Women Need Omega-3 to Boost Infant Development
6. European Experts Recommend Pregnant and Nursing Women Take More DHA - Every Day
7. Risk of Stroke, Heart Disease in Women Lowered by Mediterranean Diet
8. Video: Zometa(R) Reduces Risk of Breast Cancer Recurrence in Premenopausal Women, Study in The New England Journal of Medicine Reports
9. Evidence Lacking in Multivitamin Study of Womens Risk of Cancer, Heart Disease or Death, Says Natural Products Association
10. February 2009 Mayo Clinic Womens HealthSource Highlights Diabetes and Heart Disease, Going Vegetarian and Tinnitus
11. Society of Gynecologic Oncologists 40th Annual Meeting on Womens Cancer to Include Sessions on Robotics Surgery
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2016)... , June 23, 2016 Bracket , ... launch its next generation clinical outcomes platform, Bracket eCOA (SM) ... held on June 26 – 30, 2016 in ... first electronic Clinical Outcome Assessment product of its kind to ... #715. Bracket eCOA 6.0 is a flexible platform ...
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 /PRNewswire/ ... Diabetes Tomorrow,s Leaders Scholarship is any indication, the future ... today online at www.diabetesscholars.org by the Diabetes ... stand in the way of academic and community service ... scholarship program since 2012, and continues to advocate for ...
(Date:6/23/2016)... -- Revolutionary technology includes multi-speaker listening to ... leaders in advanced audiology and hearing aid technology, has ... the world,s first internet connected hearing aid that opens ...      (Photo: http://photos.prnewswire.com/prnh/20160622/382240 ) , ... firsts,: , TwinLink™ - the first dual ...
Breaking Medicine Technology:
(Date:6/27/2016)... (PRWEB) , ... June 27, 2016 , ... ... for mental health professionals, announced today its affiliation with Tennessee Counseling Association. ... solutions to the network of the Tennessee Counseling Association, adding exclusive benefits and ...
(Date:6/26/2016)... (PRWEB) , ... June 27, 2016 , ... Quality metrics ... yet in many ways they remain in the eye of the beholder, according to ... a publication of The American Journal of Managed Care. For the full issue, ...
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified ... be personalized through a fitness app. The fitness app plans to fix the two major ... only offer a one size fits all type program , They don’t eliminate ...
(Date:6/25/2016)... ... ... temporary closing of Bruton Memorial Library on June 21 due to a possible lice infestation, ... aspect of head lice: the parasite’s ability to live away from a human host, and ... necessary one in the event that lice have simply gotten out of control. , As ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has ... he has implemented orthobiologic procedures as a method for treating his patients. The ... first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use ...
Breaking Medicine News(10 mins):