Straddle Injury in Pregnancy with Asymptomatic Uterine Laceration: Delivery of a Life Baby at Term
Abstract:
Background: Accidental trauma from falls can occur in pregnancy. Apart from road traffic accident, trauma in pregnancy is common due to hormonal influence that causes laxity of joints, ligaments and connective tissues. Hormonal changes also influence the shift of center of gravity due to hormonal response in the middle ear. Straddle injury involving a concrete or hard surface can be life threatening in pregnancy for both mother and fetus. Prompt recognition, adequate resuscitation and availability of emergency obstetrics care are crucial to fetal and maternal survival.
Report: A case of an unbooked 31-year-old G4P3+0 petty trader with three living children who was rushed to the emergency unit of the hospital at a gestational age of 35 weeks and 6 days on account of vaginal bleeding two hours prior to presentation following straddle injury from fall astride on a concrete surface with oedematous vulva, multiple perineal lacerations and affectation of external urethral meatus and silent uterine laceration. She had perineal repair within 30 minutes of presentation. She later had urgent CS on account of poor biophysical profile at 37 weeks with incidental finding of uterine laceration with good fetal and maternal outcomes.
