The consequences of high-risk behaviors: trauma during pregnancy.

Background: Trauma during pregnancy places two lives at risk. Knowledge of risk factors for trauma during pregnancy may improve outcomes.

Methods: We reviewed the charts of 188 such patients admitted to a Level I trauma center from 1996 to 2004.

Thrombelastography monitoring of resistance to enoxaparin anticoagulation in thrombophilic pregnancy patients.

The anticoagulant effect of enoxaparin is readily observed by Thrombelastography (TEG), particularly on the reaction time (R) to form a clot, and is completely reversed by heparinase. In this study, recalcified citrated whole blood with heparinase (CNHR) and without (CNR), along with TEG R time, was used to derive a delta R (CNR-CNHR). This delta R (DeltaR) was then used to measure enoxaparin anticoagulation, which was correlated by linear regression (r(2)=0.