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Trauma in pregnancy — DipIMC MCQ

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HardTraumaTrauma in pregnancyDipIMC

A 31-year-old woman at 32 weeks' gestation is involved in a high-speed collision. She has abdominal pain, uterine tenderness, pulse 122/min, systolic blood pressure 104 mmHg and feels faint when supine; fetal movements are reduced. What is the most appropriate transport decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Transport in left lateral tilt to an obstetric-capable major trauma centre

Maternal resuscitation is the priority, with aortocaval decompression using left lateral tilt and transfer to a centre able to manage both major trauma and obstetric complications. A midwife-led unit cannot manage high-energy trauma or concealed abruption. Fetal assessment should not delay maternal stabilisation and transport.

Reference: JRCALC Guidelines; NICE NG39 Major trauma