First-Trimester Pregnancy: Considerations for Wilderness and Remote Travel.
Wilderness Environ Med
; 34(2): 201-210, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-36842861
ABSTRACT
Women increasingly participate in outdoor activities in wilderness and remote environments. We performed a literature review to address diagnostic and therapeutic considerations during first-trimester pregnancy for remote multiday travel. Pretrip planning for pregnant patients traveling outside access to advanced medical care should include performing a transvaginal ultrasound to confirm pregnancy location and checking D rhesus status. We discuss the risk of potential travel-related infections and recommended vaccinations prior to departure based on destination. Immediate evacuation to definitive medical care is required for patients with a pregnancy of unknown location and vaginal bleeding. We propose algorithms for determining the need for evacuation and present therapeutic options for nausea and vomiting, urinary tract infections, and candidiasis in the field.
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Base de dados:
MEDLINE
Assunto principal:
Viagem
/
Doença Relacionada a Viagens
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article