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<< Trauma In Pregnancy: Double Jeopardy (2008)

Critical Appraisal Of The Literature

A search of Ovid MEDLINE and PubMed for articles related to trauma in pregnancy was performed. The search was limited to the English language and to human studies. Key words used in the search included trauma in pregnancy, placental abruption, perimortem cesarean section, Rh immunization, cardiac toco monitoring, Kleihauer-Betke test, and radiation in pregnancy. Bibliographies from the selected articles were reviewed for additional references.

The most credence was given to scientific articles including clinical trials, prospective cohort studies, and aggregate studies including meta-analyses of clinical trials. Retrospective studies, case-controlled studies, and other meta-analyses provided secondary evidence for analysis followed by panel consensus, cross-sectional studies, and case reports. In addition, guidelines from the Eastern Association for the Surgery of Trauma (EAST) and the American College of Obstetrics and Gynecology were reviewed.2, 3 These and other clinical policies relevant to the care of the pregnant trauma patient are listed in Table 1.2-5