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. 2012 Jun 1;13(2):118-22.
doi: 10.5152/jtgga.2012.13. eCollection 2012.

Pregnancy and trauma: analysis of 139 cases

Sevdegül Karadaş  1 , Hayriye Gönüllü  1 , Mehmet Reşit Oncü  2 , Zehra Kurdoğlu  3 , Yasin Canbaz  4
Affiliations

Pregnancy and trauma: analysis of 139 cases

Sevdegül Karadaş et al. J Turk Ger Gynecol Assoc. .

Abstract
in English, Turkish

Objective: The aim of this study was to examine the diagnoses and treatment methods and demographical and clinical characteristics of pregnant women who were exposed to trauma and in additon, review of the literature was carried out in this regard.

Material and methods: One hundred thirty-nine pregnant women who presented at the Yüzüncü Yıl University between January 2006 and September 2009 with local or general body trauma complaints were analysed retrospectively.

Results: The average age of the cases was 26.72±6.29 years and the age group ranging from 21-34 composed the majority. When they were studied according to their etiologies, falls during daily activities formed 43.9%. When they were analyzed in terms of their gestational weeks, 64.46% were in the 3(rd) trimester. Pregnant cases with trauma resulted in maternal (3 cases) and fetal (9 cases) loss. It was found that 19 cases who had imaging techniques involving radiation and whose gestation was continuing had a problem-free gestation period and healthy children.

Conclusion: It is mandatory to evaluate both mother and fetus together when trauma exposure is in question, the general well-being of the fetus should be provided and the mother should be informed about the presence of advanced trauma life support.

Amaç: Bu çalışmanın amacı travmaya maruz kalan gebe olguların demografik, klinik özelliklerini, tetkik ve tedavi yöntemlerini incelemek ve literatürü gözden geçirmektir.

Gereç ve yöntemler: Ocak 2006–Eylül 2009 tarihleri arasında Yüzüncü Yıl Üniversitesi Acil servis’ ine lokal veya genel vücut travması nedeniyle başvuran ve gebeliği olan 139 olgu geriye dönük olarak incelendi.

Bulgular: Olguların yaş ortalaması 26.72±6.29 yıl olup, çoğunluğunu 21–34 yaş arası grup oluşturmakta idi. Etiyolojilerine göre incelendiğinde %43.9’u günlük aktiviteler sırasında düşme olup, trimestera göre değerlendirildiğinde %64.46’sı 3. trimester idi. Travmalı gebe olguların 3’ü maternal, 9’u fetal kayıpla sonuçlandı. Radyasyon içeren görüntüleme yöntemi kullanılan ve gebeliği devam eden 20 olgunun gebeliklerini sorunsuz sürdürdükleri ve çocuklarının sağlıklı olduğu öğrenildi.

Sonuç: Travmaya maruz kalan tüm gebelerde, anne ile birlikte fetusun değerlendirilmesi gerekli olup, fetusun iyilik halinin sağlanması, annenin ileri travma yaşam desteğine uyulmasına bağlıdır.

Keywords: Pregnancy; emergency department; etiology; radiation; trauma.

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Figures

Figure 1
Figure 1
Distribution of the cases according to age groups
Figure 2
Figure 2
Distribution of the cases according to gestational weeks
See this image and copyright information in PMC

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