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Femoral fracture in pregnancy: a case series and review of clinical management

Femoral fractures in pregnancy are a rare complication, with an incidence of approximately 1%. Case reports and small trials leave perioperative obstetric management and route of delivery largely unclear. Three cases of femoral fracture are presented that occurred at 24, 30, and 31 weeks of gestatio...

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Autores principales: Harold, Justin A, Isaacson, Erin, Palatnik, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497842/
https://www.ncbi.nlm.nih.gov/pubmed/31114393
http://dx.doi.org/10.2147/IJWH.S198345
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author Harold, Justin A
Isaacson, Erin
Palatnik, Anna
author_facet Harold, Justin A
Isaacson, Erin
Palatnik, Anna
author_sort Harold, Justin A
collection PubMed
description Femoral fractures in pregnancy are a rare complication, with an incidence of approximately 1%. Case reports and small trials leave perioperative obstetric management and route of delivery largely unclear. Three cases of femoral fracture are presented that occurred at 24, 30, and 31 weeks of gestation. The causes of femoral fracture were gunshot, motor vehicle collision, and fragility fracture. All fractures were surgically repaired, 1 utilizing neuraxial anesthesia and the others with general anesthesia. A 30-day postoperative course of low-molecular-weight heparin was prescribed, and all patients subsequently had vaginal deliveries. Femoral fractures in the viable pregnancy confer high maternal and fetal morbidity and mortality. Intraoperative fetal monitoring and postoperative anticoagulation should be considered, and vaginal delivery should not be contraindicated.
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spelling pubmed-64978422019-05-21 Femoral fracture in pregnancy: a case series and review of clinical management Harold, Justin A Isaacson, Erin Palatnik, Anna Int J Womens Health Case Series Femoral fractures in pregnancy are a rare complication, with an incidence of approximately 1%. Case reports and small trials leave perioperative obstetric management and route of delivery largely unclear. Three cases of femoral fracture are presented that occurred at 24, 30, and 31 weeks of gestation. The causes of femoral fracture were gunshot, motor vehicle collision, and fragility fracture. All fractures were surgically repaired, 1 utilizing neuraxial anesthesia and the others with general anesthesia. A 30-day postoperative course of low-molecular-weight heparin was prescribed, and all patients subsequently had vaginal deliveries. Femoral fractures in the viable pregnancy confer high maternal and fetal morbidity and mortality. Intraoperative fetal monitoring and postoperative anticoagulation should be considered, and vaginal delivery should not be contraindicated. Dove 2019-04-23 /pmc/articles/PMC6497842/ /pubmed/31114393 http://dx.doi.org/10.2147/IJWH.S198345 Text en © 2019 Harold et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Series
Harold, Justin A
Isaacson, Erin
Palatnik, Anna
Femoral fracture in pregnancy: a case series and review of clinical management
title Femoral fracture in pregnancy: a case series and review of clinical management
title_full Femoral fracture in pregnancy: a case series and review of clinical management
title_fullStr Femoral fracture in pregnancy: a case series and review of clinical management
title_full_unstemmed Femoral fracture in pregnancy: a case series and review of clinical management
title_short Femoral fracture in pregnancy: a case series and review of clinical management
title_sort femoral fracture in pregnancy: a case series and review of clinical management
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6497842/
https://www.ncbi.nlm.nih.gov/pubmed/31114393
http://dx.doi.org/10.2147/IJWH.S198345
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