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      Trauma in Pregnancy : Diversifying Obstetric Retrieval Service in Sabah

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            Abstract

            The Obstetric and Gynaecological Retrieval Service in West Coast Sabah has been well-established since year 2015, parallel to the global advancement of Emergency Retrieval Service. The decision to transfer a patient or to deploy team to the patient lies in the hands of Retrieval Unit. Additionally the mode of transportation, surgeon availability, weather and travel time have to be taken into account. Even though the structure of the program is steadfast in diversifying retrieval services, there are still insufficient studies available to decide its worth. We report a case of a 19-year old primigravida at 27 weeks; involved in a high-impact motor vehicle accident and sustained class 4 hemorrhagic shock. Evaluated in a district hospital, uterine rupture was diagnosed. Hence, the dilemma was either to deploy a team to perform the surgery in district hospital, or to put the patient through a perilous journey back. We would discuss on how we had organised and coordinated a team of obstetrician and anaesthesiologist, along with the Retrieval Team, to perform an Emergency Exploratory Laparotomy in district hospital. Nevertheless, the best method of care is still debatable as astute judgement is crucial and this approach has to be taken on a case to case basis. Ultimately, the patients well-being is the utmost priority.

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            Author and article information

            Journal
            ScienceOpen Posters
            ScienceOpen
            6 January 2021
            Affiliations
            [1 ] Emergency and Trauma Department, Sabah Women and Children's Hospital, Ministry of Health Malaysia.
            Author information
            https://orcid.org/0000-0002-2523-2997
            Article
            10.14293/S2199-1006.1.SOR-.PPDCR6I.v1
            ed060648-7f07-4f80-be4a-e28345170738

            This work has been published open access under Creative Commons Attribution License CC BY 4.0 , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Conditions, terms of use and publishing policy can be found at www.scienceopen.com .

            History
            : 6 January 2021

            Data sharing not applicable to this article as no datasets were generated or analysed during the current study.
            Emergency medicine & Trauma,Obstetrics & Gynecology,Public health
            uterine rupture,trauma in pregnancy,retrieval,transport medicine,emergency

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