Where should a pregnant MTV, more than 20 weeks' gestation, be transported?

Transporting a pregnant patient who is more than 20 weeks' gestation, especially if they are experiencing complications, requires careful consideration of both maternal and fetal health. A trauma center with a neonatal ICU is equipped to handle potential emergencies that could arise during transport and delivery, ensuring that both the mother and the baby receive appropriate and specialized care.

In this scenario, a trauma center is well-suited to manage complications associated with trauma, which is crucial for the safety of a mother who may be experiencing significant risks due to her condition. The presence of a neonatal ICU ensures that immediate care can be provided for the newborn if necessary, particularly since the patient is beyond the 20-week mark where fetal viability is a critical factor.

Transporting the patient to any available hospital may not guarantee that the necessary specialized care will be available, which could jeopardize the safety of both the mother and the fetus. Choosing a hospital based solely on distance or the patient's personal preference without considering the obstetric or neonatal capabilities can be less than optimal in a high-risk situation.

Consequently, the choice of a trauma center with a neonatal ICU ensures that both maternal and fetal needs are prioritized during transport, aligning with best practices in emergency obstetric care.