TITLE:
Maternal and Fetal Outcomes of 179 Traumatised Pregnants in Teritary Referral Center
AUTHORS:
İsmet Alkış, Sevdegül Karadaş, Erbil Karaman, İsmail Gülşen, Reşit Öncü, Numan Cim, Recep Dursun
KEYWORDS:
Pregnancy, Trauma, Maternal Mortality, Fetal Outcomes
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.4 No.16,
December
5,
2014
ABSTRACT: Objective: The aim of this
study was to evaluate the clinical characteristics, maternal and fetal outcomes
of trauma in pregnants. Methods: This is a retrospective analysis of all
traumatised pregnants who admitted to Yüzüncü Yil University teritary referral
hospital from June 2010 and December 2012. One hundred seventy-nine pregnants
in whom referred for trauma analysed for the data about mechanism of trauma,
demographic and obstetric parameters on admission, diagnostic and surgical
procedures performed, maternal and fetal outcomes. The SAS statistical package
version 9.2 was used in data analysis. Results: Overall, the medical records of
179 patients were reached and included in the study. The mean age was 27.5 ±
5.8. Gestational age ranged from 6 to 39 weeks (mean, 26.2 weeks), with most
trauma (49.1%) being in the third trimester. Road trrafic accident (RTA) was
the main mechanism of trauma (41.5%) followed by falls (26.4%). Trauma due to
animal recoil was seen in three patients. The most injured body area was
extremity (34.2%). Traumatised pregnants resulted in metarnal (4 cases) and
fetal (16 cases) loss. Most of the fetal loss (49.1%) was seen third trimester,
with the main cause detected as placental abruption (8 cases). When compared
the complicated pregnancy according to trauma site, abdominal trauma (33.3%)
was significantly related to complication in pregnancy than non-abdominal trauma
(21.9%) (p = 0.014). Conclusions: Trauma in pregnancy carries risks for both
mother and baby. Trauma to abdominal region and trauma in second or third
trimester pregnancy is associated with significantly higher maternal and fetal
complications.