Pelvic trauma and pregnancy. Review of literature about one case report

The authors are dealing with a case of a pelvic fracture (right superior pu bic ramus) after a raod traffic accident to a patient who arise a pregnancy with twins at twenty five weeks pregnant Seven per cent of a road traffic accident affect pregnancy with a maternal death rate from eight to sixteen per cent and a fetal death rate up to fifty seven per cent. Pelvic trauma a re more deleterious during the pregnancy because of the gravide uterus, of the abdominal injuries binding more often, and of pregnancy secondary mater nal physiology wich lead to delay diagnosis and therapeutics. Blunt fetomat ernal consequences are ruled by pelvic haematomas, uterine rupture, prematu rity, acute fetal distress, fetal injuries and in utero death. Al mid and l ong range arise the problem of child birth way and the risk of mecanical dy stocy. Cesarean is store in case of vesical and urethral injuries or perine al injury several pelvic fractures or in case of the pelvic belt fracture m oved and not reduced, bringing to a surgical unsymetrical pelvis. In the ot hers cases, the obstetrical prognosies will be done after a dialogue with a ll medical staff and a full synthesis of the file based on the fetopelvic c omparaisons (obstetrics previous, clinic, fetal biometry: pelvimetry X ray) .