Ever experienced an extremely stressful or disturbing events that have left your feelings helpless and emotionally getting out of control? This is nothing but the phase of becoming traumatized.
We always hear this around us whenever any family member or friends are expecting a baby and are pregnant, that pregnant ladies should always be kept in an environment surrounded with good thoughts, good people around and with some extra care and love. Because we do not want to see our loved ones facing any problems.
But it happens with many “To-be-mom” that they become victim of trauma. Trauma affects almost 8% of pregnant population and is one of the lead cause of pregnancy related mortality. The risk of trauma increases with increase in pregnancy advances. 10% to 15% of trauma risk increases in first trimester and 50% to 54% in third trimester.
What are Trauma and How to Manage it?
The most common pregnancy trauma are caused by some minor incidents which includes vehicle crashes and blunt abdominal trauma. These situations mainly require clinical judgement about the extent of fetal and maternal assessment. Because insignificant trauma can result in fatal injury or demise too. Whereas Fetal monitoring recommendations for pregnant women with minor or major trauma are similar.
Management of minor trauma is limited up to care for discussion of appropriate analgesics, factures, counselling regarding the signs and the symptoms of abruption and also to ensure appropriate follow up. Appropriate referral should be made to community based advocacy groups for the people who have experienced Intimate Partner Violence (IPV), and there should be a plan to ensure the safety of patient and other vulnerable people living in the household.
Whenever patients are detected and going through major trauma, it is always suitable to transfer the patient to the hospitals for a timely trauma evaluation. Because abruption has been reported to occur following with 24 hours after trauma. It there are non-reassuring fetal heart rate patterns, significant uterine tenderness, vaginal bleeding, serious maternal injury, or a positive Kleihauer-Betke test result. If none of these are present in the patient, then they may be discharged provided with some precautions.
Precautions to be taken for Pregnant Belly against Trauma:
Motor Vehicle Crashes –
Around 2% of pregnant women become victim of vehicle crash during pregnancy. And there are almost 368 women who become victim per year and unfortunately causes death. Also it is very important for pregnant women to put the seat belts in a proper manner to avoid intrauterine injury and fetal death. Also the lap belt should be placed as low as possible under the protuberant portion of abdomen.
If it is any emergency case to travel long distances for pregnant women, make sure it is airbag protected, this will provide from risk of adverse pregnancy outcomes.
Partner Violence –
Still in this era where people belong to well-educated and with good bringing up many women are victim of domestic violence which is mainly from the partner itself. Direct assault on the abdomen, may result in setting of IPV. It is suggested by American Academy of Pediatrics to keep the family members aware of what will be circumstances of such behavioural and symptoms associated with neglect or abuse.
A patient who signifies a vague or inconsistent history of trauma should be raising a suspicion for battering. Abdomen is the area which is commonly targeted, when it comes to blows, kicks or any other assault which results in IPV. Such patients, if found around or in your family, should be counselled as soon as possible.
Falls are one of the common thing happens with pregnant ladies, due to swelling of feet and big baby bump, sometimes it becomes impossible for them to balance on inclined surfaces, stair cases and etc. It is important to be with them at such times and situations to avoid the falls which can cause a severe traumatic situation.