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

paedic 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
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SOURCE American Academy of Orthopaedic Surgeons
Copyright©2009 PR Newswire.
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