Gynecological Trauma and Emergencies

The current active duty population consists of 16% women
(approximately 202,849 women were documented in 2016; DoD
has a goal to achieve 25% of the force female by 2025), many of
whom are subject to the same risks of combat injury as their male
colleagues, especially now that all combatant roles have been
opened to females. This chapter deals with OB/GYN emergencies
that may present to a deployed medical treatment facility,
particularly in military operations other than war. In a civilian
epidemiologic study of childbearing-age women undergoing
hospitalization for injuries, 4.6% of these women were identified
as being pregnant (many were previously unrecognized). Up to
6% to 7% of pregnancies are complicated by trauma, and nearly
50% of maternal deaths are related to trauma.