Abdominal gunshot wounds in pregnancy

      This paper is only available as a PDF. To read, Please Download here.


      The incidence of gunshot wounds in the civilian population is increasing. Likewise, pregnant women are more frequently sustaining wounds of the abdomen. We report on three women who sustained abdominal gunshot wounds during pregnancy. Guidelines for management are suggested. Select patients may be observed if the following conditions are present: mother's condition is stable, the entrance wound is below the fundus of the uterus, the missile can be radiographically demonstrated to be in the uterine cavity, there is a negative abdominal examination, and there is no blood in the urine or gastrointestinal tract. (Am J Obstet Gynecol 1989;160:1124-8.)

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Violent Deaths, Wisconsin
        Madison, Wis.: Wisconsin Department of Health and Social Sciences, Division of Health, Center for Health Statistics. 1988: 33-40
        • Rushforth NB
        • Ford AB
        • Hirsch CS
        • Rutherford NM
        • Adelson L
        Violent death in a metropolitan county. Changing patterns in homicide.
        N Engl J Med. 1977; 297: 531-538
      1. Leads from the MWMR, progress toward achieving the national 1990 objectives for injury prevention and control..
        JAMA. 1988; 259: 2069-2077
        • Buchsbaum HJ
        Penetrating injury of the abdomen..
        in: Trauma in pregnancy. WB Saunders, Philadelphia1979: 82-100
        • Fackler ML
        Wound ballistics-a review of common misconceptions.
        JAMA. 1988; 259: 2730-2736
        • Hathout H
        • Bibi M
        • Youssef F
        Gunshot fetal injury.
        Injury. 1978; 12: 397-398
        • Marx GF
        Shock in the obstetric patient.
        Anesthesiology. 1965; 26: 423-434
        • Romney SL
        • Gabel PV
        • Takeda Y
        Experimental hemorrhage in late pregnancy.
        Am J Obstet Gynecol. 1963; 87: 636-649
        • Buchsbaum HJ
        Diagnosis and management of abdominal gunshot wounds during pregnancy.
        J Trauma. 1975; 15: 425-430
        • Iliya FA
        • Hajj SN
        • Buchsbaum HJ
        Gunshot wounds of the pregnant uterus: report of two cases.
        J Trauma. 1980; 20: 90-92
        • Buchsbaum HJ
        • Staples PP
        Self-inflicted gunshot wound to the pregnant uterus: report of two cases..
        Obstet Gynecol. 1985; 65: 32S-35S
        • Takki S
        • Pollanen L
        • Zertama P
        • Lehtonen T
        Criminal abortion by gunshot. A case report.
        Ann Chir Gynaecol Fenn. 1969; 58: 122-123
        • Zivkovic S
        • Milosevic V
        • Stanivukovic V
        Prenatal gunshot wound perforation of the colon.
        J Pediatr Surg. 1976; 11: 591-592
        • Moss M
        Fatal gunshot wound of fetus inflicted by the mother.
        Aust N Z J Obstet Gynaecol. 1968; 4: 125-127