Falling is a common cause for injury during pregnancy.
The uterus within the abdomen inside the pelvis is
protected and cushioned by the amniotic fluid and
some protection is also provided by the uterus and
abdominal wall. If you suffer a fall, contact your
doctor for the necessary checking where you will be
monitored and your baby's heartbeat will be checked
for assurance that all is well. Any external injuries
sustained will receive treatment as per normal. X-rays
should be avoided as much as possible. Depending on
how severe the fall and the injuries are, an ultrasound
may be required to evaluate the situation. First things
first, your balance and your movements are different
now that you are getting larger. Be careful especially
on wet surface like roads and pavements.
Stairway is another common accident area; always use
the handrails. Walk in well-lit areas. Slow down in
your gait now that you take more time to get around.
Change in balance may also cause you to trip and fall;
vigilance on your part pays.
Look out for these signs after a fall:
• bleeding,
• ruptured membranes made obvious by a fast flow of
fluid from the vagina
• severe abdominal pain.
One of the most serious consequences after a fall
is placental abruption, where the placenta detaches
itself from the uterus. The other serious injury is
a broken bone or an injury that confines you to the
bed for a while. A broken bone may require X-ray and
surgery. Since treatment cannot be delayed, make sure
your doctor is informed before any test or procedure
is carried out. Pelvis and abdomen areas must be covered
against any X-rays; in fact the necessity of it must
be thoroughly weighed against the risks involved with
the baby.
Avoid general anesthesia (GA) if possible. Keep pain
medication to a minimum. If GA is inevitable, the
baby should be closely monitored. Your surgeon and
doctor will work together using their discretion to
get both of you on the track to recovery.
