اتیولوژی و پیش‌آگهی تروما در زنان باردار مراجعه کننده به بیمارستان شهید هاشمی‌نژاد در سال 1402

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی پزشکی، گروه طب اورژانس، مرکز تحقیقات دانشجویی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 دانشجوی دکترای مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 دانشیار گروه طب اورژانس، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 استادیار گروه طب اورژانس، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: تروما، یکی از علل مهم مرگ غیرمستقیم مادری محسوب شده که بارِ مالی زیادی را بر سیستم درمانی وارد می­نماید. در طی چند سال اخیر، مرگ‌و‌میر مادران بارداری به‌دنبال عوارض مستقیم بارداری و زایمان کاهش یافته است، ولی مرگ‌و‌میر ناشی از تروما رو به افزایش می­باشد. مطالعه حاضر با هدف بررسی اتیولوژی و پیش‌آگهی تروما در زنان باردار طراحی شد.
روش‌کار: در این مطالعه توصیفی مقطعی که در سال 1402 در بیمارستان هاشمی‌نژاد مشهد انجام گرفت، فراوانی موارد تروما در 122 زن باردار مراجعه کننده به اورژانس سوانح بیمارستان هاشمی‌نژاد مشهد بررسی گردید. به منظور بررسی اتیولوژی و پیامد نهایی بارداری زنان باردار با شکایت تروما، اطلاعات دموگرافیک و اطلاعات مرتبط با اتیولوژی و پیامد نهایی بیماران از رجیستری تروما استخراج شد. تجزیه و تحلیل داده ها با استفاده از نرم‌افزار آماری SPSS (نسخه 26) انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ­ها: میانگین سنی بیماران 51/7±60/30 سال بود. شایع‌ترین عامل بروز تروما، حوادث ترافیکی در 65 مورد (3/53%) بود و اغلب در زمان وقوع تروما در سه ماهه دوم بارداری خود قرار داشتند. شایع‌ترین محل ضربه، شکم (4/80%) و شایع‌ترین عارضه، سقط (73/5%) و دکولمان جفت (91/4%) بود. در بررسی پیامد تروما در مادران نیز 13 مورد (3/10%) منجر به از دست رفتن جنین شده بود.
نتیجه ­گیری: در این مطالعه شایع‌ترین علت وقوع تروما، حوادث ترافیکی بود و اغلب بیماران جوان بودند که تا پایان سنین باروری ممکن است بارداری‌های متعددی داشته باشند، لذا ارائه محتوای آموزشی به این گروه هدف می­ تواند در آینده عوارض مادری جنینی ناشی از تروما را کاهش دهد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Trauma etiology and prognosis in pregnant women referred to Shahid Hasheminezhad Hospital in 2023

نویسندگان [English]

  • Farzaneh Ahmadpoor 1
  • Fatemeh Ghafari Sardasht 2
  • Behrang Rezvani Kakhki 3
  • Seyed Mohammad Mousavi 3
  • Maedeh Khosravi 4
  • Sayyed Majid Sadrzadeh 5
  • Elnaz Vafadar Moradi 3
1 General Physician, Department of Emergency Medicine, Student Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 PhD Student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Associate Professor, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Assistant Professor, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Trauma is considered as one of the important causes of maternal death, which imposes a large financial burden on the medical system. During the recent few years, the mortality of pregnant mothers following direct complications of pregnancy and delivery has decreased, but the mortality due to trauma is increasing. The present study was designed with aim to investigate the etiology and prognosis of trauma in pregnant women.
Methods: In this cross-sectional descriptive study conducted in 2023 in Hasheminezhad hospital of Mashhad, the frequency of trauma in 122 pregnant women referring to the accident emergency room of Mashhad Hasheminezhad Hospital was investigated. To study the etiology and outcome of pregnant women with complain of trauma, demographic information and the information related to the etiology and outcome of patients were extracted from the trauma registry. Data were analyzed by SPSS software (version 26). P<0.05 was considered significant.
Results: The mean age of patients was 30.60 ± 7.51 years. The most common cause of trauma was traffic accidents in 65 cases (53.3%) and most of them were in the second trimester of pregnancy. The most common site of injury was abdomen (80.4%) and the most common complication was abortion (5.73%) and placental abruption (4.91%). There were 13 (10.3%) patients who lost their pregnancy.
Conclusion: In this study, the most common cause of trauma was car accidents and most of the patients were young, who may have multiple pregnancies by the end of their childbearing years. Therefore, providing educational content to this group in the future may reduce maternal and fetal complications caused by trauma.

کلیدواژه‌ها [English]

  • Trauma
  • Pregnancy
  • Outcome
  • Accidents

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 7
مهر 1403
صفحه 18-27

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