OB Trauma Core Concepts

• Physiologic changes of pregnancy: physiologic anemia, decreased SVR, increased HR, increased RR, and pelvic vessel engorgement 
• Traumatic complications: placental abruption, preterm labor (PTL), uterine rupture, and pelvic fx
• Abruption triad = abd pain, large for dates uterus, vaginal bleeding
• Perform cervical check to eval for PTL
• Obtain Type and Screen and KB test
• Give Rhogam if mom is Rh neg. 50 mcg if 12 wks
• Check fetal HR after E-FAST, nml is 120-160

 

 

-Travis Barlock