NYMC Faculty Publications

Management of Pelvic Injuries in Pregnancy

Author Type(s)

Faculty

DOI

10.1016/j.ocl.2013.03.005

Journal Title

The Orthopedic Clinics of North America

First Page

301

Last Page

315

Document Type

Article

Publication Date

7-1-2013

Abstract

Pelvic fractures in pregnant women are usually high-energy injuries associated with risk of mortality to both mother and fetus. The mother's life always takes priority in the acute setting as it offers the best chance of survival to both the mother and the fetus. Indications for operative intervention of acute pubic symphysis rupture depend on presence of an open disruption, amount of displacement, and degree of disability. Chronic symphyseal instability related to pregnancy is a challenging problem and the first line of treatment is nonoperative care. A previous pelvic fracture is not a contraindication by itself to vaginal delivery.

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