title: Obstetric complications on deployed operations: a guide for the military surgeon.
abstract: Modern military general surgeons tend to train and then practice in 'conventional' surgical specialties in their home nation; however, the reality of deployed surgical practice, either in a combat zone or on a humanitarian mission, is that they are likely to have to manage patients with a broad range of ages, conditions and pathologies. Obstetric complications of war injury include injury to the uterus and fetus as well as the mother and both placental abruption and uterine rupture are complications that military surgeons may have little experience of recognising and managing. On humanitarian deployments, fetomaternal complications are a common reason for surgical intervention. We report a recent patient's story to highlight the obstetric training needs of military surgeons.
authors.affiliation: Royal Shrewsbury Hospital, Shrewsbury, UK Army Medical Directorate, Former Army Staff College, Camberley, Surrey, UK.
authors.forename: Edwin R
authors.initials: ER
authors.lastname: Faulconer
authors.affiliation: Heart of England NHS Foundation Trust, Bordesley Green, Birmingham, UK.
authors.forename: S
authors.initials: S
authors.lastname: Irani
authors.affiliation: Heart of England NHS Foundation Trust, Bordesley Green, Birmingham, UK Royal Centre for Defence Medicine, Birmingham, UK.
authors.forename: N
authors.initials: N
authors.lastname: Dufty
authors.affiliation: Heart of England NHS Foundation Trust, Bordesley Green, Birmingham, UK Royal Centre for Defence Medicine, Birmingham, UK.
authors.forename: D
authors.initials: D
authors.lastname: Bowley
mesh_terms: D000037:Abruptio Placentae / Q000601:surgery; D001753:Blast Injuries; D002585:Cesarean Section / Q000379:methods*; D005260:Female; D006801:Humans; D007155:Immunologic Factors / Q000627:therapeutic use; D008887:Military Medicine / Q000379:methods*; D008889:Military Personnel; D008952:Mobile Health Units; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D012203:Rh Isoimmunization / Q000517:prevention & control; D018029:Rho(D) Immune Globulin / Q000627:therapeutic use
chemical_list: D007155:Immunologic Factors; D018029:Rho(D) Immune Globulin
keywords: OBSTETRICS; TRAUMA MANAGEMENT