Maternal and Fetal Outcomes of 179 Traumatised Pregnants in Teritary Referral Center


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.

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Alkış, İ. , Karadaş, S. , Karaman, E. , Gülşen, İ. , Öncü, R. , Cim, N. and Dursun, R. (2014) Maternal and Fetal Outcomes of 179 Traumatised Pregnants in Teritary Referral Center. Open Journal of Obstetrics and Gynecology, 4, 1037-1043. doi: 10.4236/ojog.2014.416142.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Weiss, H.B., Songer, T.J. and Fabio, A. (2001) Fetal Deaths Related to Maternal Injury. JAMA, 286, 1863-1868.
[2] Connolly, A.M., Katz, V.L., Bash, K.L., McMahon, M.J. and Hansen, W.F. (1997) Trauma and Pregnancy. American Journal of Perinatology, 14, 331-336.
[3] Alexander, R.H. and Proctor, R.J., American College of Surgeons (1993) Trauma in Pregnancy. In: Advanced Trauma Life Support Instructor Manual, 283-292.
[4] Moise Jr., K.J. and Belfort, M.A. (1997) Damage Control during Pregnancy. Surgical Oncology Clinics of North America, 77, 839-845.
[5] Esposito, T.J., Gens, D.R., Smith, L.G., Scorpio, R. and Buchman, T. (1991) Trauma during Pregnancy a Review of 79 Cases. Archives of Surgery, 126, 1073-1078.
[6] Schiff, M.A., Holt, V.L. and Daling, J.R. (2002) Maternal and infant Outcomes after injury during Pregnancy in Washington State from 1989 to 1997. The Journal of Trauma, 53, 939-945.
[7] Hyde, L.K., Cook, L.J., Olson, L.M., Weiss, H.B. and Dean, J.M. (2003) Effect of Motor Vehicle Crashes on Adverse Fetal Outcomes. Obstetrics & Gynecology, 102, 279-286.
[8] Tinker, S.C., Reefhuis, J., Dellinger, A.M. and Jamieson, D.J. (2010) National Birth Defects Prevention Study. Epidemiology of Maternal Injuries during Pregnancy in a Population-Based Study, 1997-2005. Journal of Women’s Health, 19, 2211-2218.
[9] Ali, J., Yeo, A., Gana, T.J., et al. (1997) Predictors of Fetal Mortality in Pregnant Trauma Patients. The Journal of Trauma, 42, 782-785.
[10] Brown, H.L. (2009) Trauma in Pregnancy. Obstetrics & Gynecology, 114, 147-160.
[11] American College of Obstetricians and Gynecologists (1998) Educational Bulletin No. 251: Obstetric Aspects of Trauma Management. Washington DC.
[12] Pearlman, M.D. (1997) Motor Vehicle Crashes, Pregnancy Loss and Pre-Term Labor. International Journal of Gynecology & Obstetrics, 57, 127-132.
[13] Baker, D.P. (1982) Trauma in Pregnancy. Surgical Oncology Clinics of North America, 62, 313-329.
[14] Karadas, S., Gonullu, H., Oncu, M.R., Kurdoglu, Z. and Canbaz, Y. (2012) Pregnancy and Trauma: Analysis of 139 Cases. Journal of the Turkish German Gynecological Association, 13, 118-122.
[15] Biswas, S.C., Mukhopadhyay, G., Kundu, D., Mukhopadhyay, M., Sen, S. and Biswas, B. (2004) Trauma in Pregnancy: A 5-Year Prospective Analysis of Fetamaternal Outcome in a Tertiary Centre. Journal of Obstetrics and Gynaecology of India, 54, 452-455.
[16] Pearlman, M.D., Tintinalli, J.E. and Lorenz, R.P. (1990) Blunt Trauma during Pregnancy. The New England Journal of Medicine, 323, 1609-1613.
[17] Luley, T., Fitzpatrick, B., Grotegut, C.A., et al. (2013) Perinatal Implications of Motor Vehicle Accident Trauma during Pregnancy: Identifying Populations at Risk. American Journal of Obstetrics & Gynecology, 208, 466.e1-466.e15.
[18] Rothenberger, D., Quattlebaum, F.W., Perry Jr., J.F., et al. (1978) Blunt Maternal Trauma: A Review of 103 Cases. The Journal of Trauma, 18, 173-179.
[19] Fischer, P.E., Zarzaur, B.L., Fabian, T.C., et al. (2011) Minor Trauma Is an Unrecognized Contributor to Poor Fetal Outcomes: A Populationbased Study of 78,552 Pregnancies. The Journal of Trauma, 71, 90-93.
[20] Kissinger, D.P., Rozycki, G.S., Morris Jr., J.A., et al. (1991) Trauma in Pregnancy: Predicting Pregnancy Outcome. Archives of Surgery, 126, 1079-1086.
[21] Lifschultz, B.D. and Donoghue, E.R. (1991) Fetal Death Following Maternal Trauma: Two Case Reports and Survey of the Literature. Journal of Forencis Sciences, 36, 1740-1744.
[22] Petrone, P., Talving, P., Browder, T., Teixeria, P.G., Fisher, O., Lozronio, A., et al. (2011) Abdominal Injuries in Pregnancy: A 155-Month Study at Two Level 1 Trauma Centers. International Journal of the Care of the Injured, 42, 47-49.

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