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, 300mcg if > 12 wks
- Check fetal HR after E-FAST, nml is 120-160
-Travis Barlock
