Traumatic injury to the pregnant uterus can be graded using the Uterus (Pregnant) Injury Scale.
|
Type of Injury |
Extent |
Grade |
|
hematoma or contusion |
without placental abruption |
I |
|
abruption |
with abruption <= 25% |
II |
|
|
with abruption > 25% and <= 50% |
III |
|
|
with abruption > 50% but incomplete |
IV |
|
|
with complete abruption |
V |
|
laceration |
superficial (<= 1 cm) |
II |
|
|
deep laceration (> 1 cm) |
III |
|
|
involving uterine artery |
IV |
|
|
with uterine rupture |
V |
If more than 1 injury is present, then advance grade by 1 up to Grade III.
where:
• I assume the advance in grade for multiple injuries applies for Grade II to III but not III to IV (see Testis Injury Scale).
• In the implementation I added devascularization from the nonpregnant uterus injury scale.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Obstetrics & Gynecology
ICD-10: ,
