TITLE:
Trauma in Pregnancy at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Burkina Faso: Epidemiological, Clinical, Therapeutic and Prognostic Aspect
AUTHORS:
Ali Ouédraogo, Mohamed Tall, André Simporé, Françoise D. Traoré Millogo, Mariam Savadogo, Blandine Thieba Bonane, Jean Lankoandé
KEYWORDS:
Trauma in Pregnancy, Maternal, Fetal, Prognosis, Ouagadougou
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.8,
July
31,
2015
ABSTRACT: Objective: To study the epidemiological,
clinical, therapeutic and prognostic aspects of trauma in pregnancy at the
Yalgado Ouedraogo teaching hospital in Ouagadougou. Patients and Methods: A
descriptive retrospective study was done over a period of three years from 1st January 2010 to 31st December 2012. We included in our sample, all
pregnant women admitted for trauma in pregnancy and eligible in three clinics:
obstetrics/gynecology, orthopedics, general and visceral surgery. Anonymity and
confidentiality of collected data were respected. Results: We recorded 224
emergency consultations for trauma in pregnancy out of 26,735 obstetric and
gynecological consultations which gave a frequency of 0.8%. The mean age of our
patients was 25.9 ± 5 years and mean parity was 1. Housewives accounted for 50%
of patients and referrals were the mode of admission
in 74.6% of cases. The causes of injury were dominated by road traffic
accidents in 82.6% of cases, falls in 9.8% and assault in 7.6%. The mean
gestational age of onset of trauma was 26.3 ± 7 weeks amenorrhea. The
management was multidisciplinary with a medical component in 99.1% of cases,
obstetric component in 13% of cases, a visceral surgery component in 6.7% of
cases and an orthopedic component in 4.2% case. Multiple traumas were found in
4 patients. The fetal prognosis showed in the 1st trimester 3 cases
of abortion in the 2nd trimester 5 cases of intrauterine fetal death
and in the 3rd trimester 10 cases of preterm labor. Conclusion: Traumas during pregnancy are beyond emergencies
within multiple causes and requiring a multidisciplinary management. Seen the
limited means of support, establishment of a national strategy to prevent
trauma in pregnancy will improve the prognosis for mother and child.