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. 2025 Aug 9;25(1):150.
doi: 10.1186/s12873-025-01313-w.

Analysis of traumatic pregnant patients admitted to the emergency department: a retrospective study

Mustafa Alpaslan  1 , Necmi Baykan  2 , Ömer Salt  3 , Fatma Ünlü  3 , Serhat Koyuncu  3 , Oğuzhan Bol  3 , Mükerrem Altuntaş  3 , Hakan Güner  4
Affiliations

Analysis of traumatic pregnant patients admitted to the emergency department: a retrospective study

Mustafa Alpaslan et al. BMC Emerg Med. .

Abstract

Background: To investigate the characteristics of patients consulted from the emergency department to the gynecology and obstetrics clinic, the traumas seen in pregnant women, and the effect of the COVID-19 pandemic on the number of admissions to the clinic.

Methods: This study was conducted in the adult emergency clinic of a secondary health care institution, through a retrospective analysis of patients who were referred for consultation to the gynecology and obstetrics clinic between 01.01.2019 and 31.12.2023. Among the patients, pregnant patients who admitted due to trauma were also analyzed separately.

Results: 437 patients were evaluated within the scope of the study. The overall meanage of the patients was 29.39 ± 12.72 years. 158 (36.2%) of the patients were pregnant and 77 (48.7%) admitted due to trauma. The most common presenting complaints in all patients were abdominal pain (57.2%), assault (8.5%) and vaginal bleeding (8%). In pregnant women who admitted due to trauma, the most common reasons for consultation were assault (46.7%), falls (24.7%) and traffic accidents (22.1%). The mean gestationalage of pregnant women admitted due to trauma was 22.83 ± 10.23 weeks. It was observed that 77.7% of the pregnant women who were beaten were due to domestic violence. The most common diagnosis was soft tissue trauma (58.4%). Trauma-related admissions were most common in the third trimester (44.2%). There was a significant decrease in the number of patients admitted during the COVID-19 pandemic. There were no maternalor fetal deaths in the in-hospital evaluation within the study.

Conclusions: Traumas seen during pregnancy are an important factor causing disability and death for the mother and the baby. Therefore, detailed examination, obstetric evaluation and close follow-up are necessary in pregnant patients who have experienced trauma.

Clinical trial number: Not applicable.

Keywords: COVID-19 pandemic; Emergency department; Pregnancy; Trauma.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Ethical approval for the study was obtained from the ethics committee of the Nevsehir Hacı Bektas Veli University (2023–12.04). Every human participant provided his or her own informed consent and conducted in accordance with the Declaration of Helsinki and Good Clinical Practice guidelines. Human ethics and consent to participate declarations: Every human participant provided his or her own informed consent. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flowchart of the study population
Fig. 2
Fig. 2
Distribution of the number of patients who were asked for consultation from the emergency department to the gynecology and obstetrics clinic by year
Fig. 3
Fig. 3
Reasons for consulting pregnant and nonpregnant patients. *STT: Soft tissue trauma; PID**: Pelvic inflammatory disease; Other surgical pathologies***: Acute appendicitis, pancreatitis, cholecystitis, etc.; UTI****: Urinary tract infection; AUB*****: Abnormal uterine bleeding;Intoxication******: Food poisoning, drug intoxication, carbon monoxide and chemical inhalation poisoning;Infection*******: Upper respiratory tract infection, gastroenteritis, cellulitis, etc.; Medical pathologies: Hyperglycemia, gastritis, pancreatitis, acute renal failure, etc.; Other trauma********: Vertebral fracture, nasal fracture and liver laceration; IVF*********: In vitro fertilization
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