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Indian Journal of Neurotrauma 2014; 11(01): 45-48
DOI: 10.1016/j.ijnt.2014.04.001
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Emergency management strategy for pregnant head trauma victims – Case reports and review of literatures

Mani Charan Satapathy
a   Department of Neurosurgery, S.C.B. Medical College, Cuttack, Odisha 753001, India
,
Sudhansu Sekhar Mishra
b   Professor and Head, Department of Neurosurgery, S.C.B. Medical College, Cuttack, Odisha 753001, India
,
Srikanta Das
c   Associate Professor, Department of Neurosurgery, S.C.B. Medical College, Cuttack, Odisha 753001, India
,
Manmath K. Dhir
c   Associate Professor, Department of Neurosurgery, S.C.B. Medical College, Cuttack, Odisha 753001, India
› Author Affiliations
Subject Editor:
Further Information

Publication History

27 January 2014

05 April 2014

Publication Date:
06 April 2017 (online)

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Abstract

Background

Several literatures support, trauma complicates 6–7% of all pregnancies. Despite the rapid progressiveness of traumatic brain injury (TBI) worldwide, there is paucity of literature regarding the exact incidence of TBI in pregnancy. Management poses a great challenge, because of the anatomical, physiologic changes and the consideration of existence of two lives till the end.

Case descriptions

We report three cases of TBI with pregnancy admitted during August 2013–December 2013 and treated in our institution with the aim to evaluate the outcome in mother in relation to post-resuscitation GCS and GOS with a secondary objective to assess the fetus. All of them recovered well with intrauterine live fetus at the time of discharge.

Conclusion

Management of TBI with pregnancy always needs multidisciplinary approach in order to optimize the outcomes for mother and fetus. If, managed conservatively there should be rational and judicious medications with very minimal fetal risks. Surgical management is warranted when benefits outweigh risks. Proper seat belt use is the most significant modifiable factor in decreasing maternal and fetal injury and mortality after motor vehicle crashes.

Keywords

GCS - TBI - Fetus - Pregnancy - Head injury
 

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