TITLE:
Acute Burns in Pregnancy
AUTHORS:
Ali Alrida Rahal, Sinan Alboudi, Israa Ali Haidar, Anwar Alhassanieh
KEYWORDS:
Acute Burns, Pregnancy, Mortality
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.12,
December
21,
2020
ABSTRACT: Background: Acute burns injury in pregnant
women is relatively rare especially in developed countries. There is a paucity
of published data on the specific problems of burns in pregnancy, despite the
high mortality for both the mother and the fetus. Aim: In this paper we will discuss all cases of acute burns
in pregnant women admitted to the Burns Department in Al-Mouassat University
Hospital in Damascus during the period between October 2017 and October 2019. Materials
and Methods: A retrospective study of records over 2 years was conducted.
The study included all pregnant burn injury women who were managed and followed
up at the Burns Department in Al-Mouassat University Hospital. Patients were
classified according to gestational age, burn characteristics, and maternal and fetal outcome. Results: Eleven patients were included, with mean age of 22.5 years (range 16 - 37 years). Of the 11 pregnant patients, 4 (36%)
were in the first trimester, 3 in the second trimester (27%), and 4 in the
third trimester (36%). The mean percentage of total body surface area (TBSA)
burned was 40.9% (range: 17% - 76%). Maternal death occurred in 2 of the cases
(18%) and fetal death in 7 (63.6%). Conclusion: Maternal mortality is
correlated to the percentage of the total burned area and inhalation injury. Burns
in pregnant women have a profound effect on the
fetal wellbeing, with a high rate of mortality especially in the first
trimester.