Pregnant Female with EDH

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Dear Mail subscribers,

A young  and 35  wks preganat female had a fall from running train . She attended our trauma centre two days after with complains  of vomitting twice on that . Patient when attended our trauma centre was comfortable except for the complains mentioned . GCS 15/15  P-72/min BP-110/70 . No other complains .We got her CT Brain done . Which showed small EDH in the posterior fossa and SAH in various other part of brain . USG showed normal fetal well being with reactive  NST( Non stress test).
I would like to know what should be done ? Whether EDH evacuation should be done immediately?EDH evacuation should be done only if  the patient has labor pain ? Whether Cesarean section should be done immediately, alone or along with  EDH evacuation  ? Can we go on with the conservative management.

Navin



 				
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