CRUSH INJURY IN PREGNANCY - AN UNUSUAL EXPERIENCE IN OBSTETRICS

Background: Crush injury is the result of prolonged pressure to the li mbs when individuals are trapped under the debris of earthquakes, bomb ings, and other disasters. Muscle integrity is compromised, and the lo cal and systemic manifestations, including rhabdomyolysis, hyperkalemi a, renal failure,and disseminated intravascular coagulation may be fat al. Case: A 32-year-old woman, gravida 2, para 1, was trapped under fa llen masonry at 6 weeks' gestation for approximately 6 hours. On initi al examination, she showed early signs of hypovolemic shock and crush injury, including hyperkalemia. Prompt management with fluid therapy a nd careful monitoring led to a rapid recovery. Antenatal follow-up was routine and concluded in spontaneous delivery of a healthy infant. Co nclusion: The unique physiology of the pregnant woman may affect the o utcome of crush injury, and it presents a particular challenge to the trauma team. The obstetrician should be aware of its dangers and shoul d be an active participant in the prompt management of pregnant victim s of crush injury to ensure a satisfactory outcome for both mother and fetus.