title: [Minor trauma during pregnancy can cause severe fetomaternal hemorrhage].
abstract: The principal causes of trauma in pregnancy include falls, motor vehicle accidents and violence. Blunt trauma to the abdomen increases the risk of fetomaternal hemorrhage. Massive fetomaternal hemorrhage is a rare but severe complication which can result in fetal anemia, fetal hypoxia, intrauterine death or neonatal neurologic damage. This case report defines incidence and significance of fetomaternal hemorrhage and shows via two cases that even minor maternal injury can lead to severe fetomaternal hemorrhage and risk of fetal compromise. The most common symptoms of fetomaternal hemorrhage are decreased fetal activity and movements reported by the mother. The cornerstones of evaluation of the third trimester trauma patient after abdominal hit are adequate assessment, CTG monitoring and sonographic fetal surveillance.
authors.affiliation: HYKS, Kätilöopiston sairaala.
authors.forename: Mikko
authors.initials: M
authors.lastname: Tarvonen
authors.forename: Veli-Matti
authors.initials: VM
authors.lastname: Ulander
authors.forename: Liina
authors.initials: L
authors.lastname: Süvari
authors.forename: Kari
authors.initials: K
authors.lastname: Teramo
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D005260:Female; D005331:Fetomaternal Transfusion / Q000209:etiology*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications*