الفهرس 
Anatomical and Physiological Changes during PregnancyOnly 14 pages are availabe for public view
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Abstract
Trauma is one of the major causes of death during pregnancy. Trauma during pregnancy may cause no injury, minor injury, or life threatening injuries. Anatomical and physiological changes that occur during pregnancy affect most systems of the body like respiratory system, cardiovascular system and gastrointestinal system which affect pattern of injuries and patho-physiological responses of the patient to these injuries.
The motor vehicle accidents, falls from height, penetrating injuries, burns, and violence are the most common causes of trauma during pregnancy. The trauma may cause head, thoracic, abdominal, or pelvic injuries, or fractures. The major factor determining fetal mortality is the severity of mother injury.
Traumatized pregnant females (even with minor injuries) should be managed carefully. Initial management should be directed to stabilization of the mother condition. Primary survey include diagnosis and treatment of life threatening conditions and secondary survey include complete examination of mother and assessment of fetal condition.
When surgical operation is decided as a management of trauma, the pregnant female is considered a special case during her anesthetic management. The anesthesiologist must consider two patient in his plane for operation ; the mother and the fetus. Aspiration, hypoxia, hypovolemia, and difficult airway are the most important points which will face us in our management of traumatized pregnant patient.
When cardiac arrest occurs at any time in the management of traumatized pregnant female, cardiopulmonary resuscitation must be started rapidly with the same protocol as with any other non-pregnant patient except in advanced pregnancy, left lateral tilt should be remembered. If the fetus is still alive, CPR will continue for 4 minutes only, then cesarean delivery must be initiated to save the fetus simultaneously with continuation of CPR of the mother