If injuries sustained in pregnancy include pelvic fracture, will this necessarily mean a caesarean delivery?
No. Any decision on the method of delivery will depend on the extent and type of fracture, and the duration since it occurred, as well as the usual obstetric considerations.
If the fracture is still unstable, then vaginal delivery is out of the question.
If healing has resulted in no deformity and the fracture occurred at least eight weeks before, then a vaginal delivery is possible.
Is there any risk of ending up with a hysterectomy?
Following severe trauma, it may be impossible to do the necessary life-saving surgical procedure without removing the uterus. In such a situation, the doctor has no choice but to perform a hysterectomy. Also, sometimes attempts to control bleeding from an injured uterus repeatedly fail, putting the woman's life in peril, and a hysterectomy may be the only solution.
It has to be emphasized that such situations and outcomes are rare.
If severe trauma results in maternal death, what are the prospects for the baby?
Pretty dire. Circumstances in most cases dictate that the baby too is lost.
In theory, following cardiac arrest, if the baby is delivered within five minutes, it will be in reasonably good condition. It can still be successfully resuscitated if delivery is within fifteen minutes. Beyond this, survival is unlikely. All this depends on whether the fetus itself sustained a direct injury and whether it was at a viable gestational age.
Last update: February 16, 2013