Document Type : Original Article
Authors
1
Guilan university of medical science
2
Department of Emergency Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
3
School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
4
Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-Zahra Hospital, , School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
5
5 Department of Radiology, School of Medicine Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
6
Guilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran
10.22038/ijogi.2025.85482.6330
Abstract
Introduction: Traumas are unpredictable injuries during pregnancy that are associated with high mortality and maternal and fetal injuries. Choosing the correct imaging modality in trauma of pregnant mothers is important to reduce the possible exposure of the fetus to ionizing radiation. The aim of this study was to determine the decisions of experts in relation to choosing diagnostic imaging tools in pregnant patients with multiple trauma referred to Poursina Educational and Medical Center in Guilan Province.
Methods: A prospective study was conducted in Poursina Educational and Medical Center, Guilan Province in 1401. The three implementation stages were: the first stage, determining experts using the snowball method, the second stage, designing 18 comprehensive scenarios for pregnant women with multiple trauma, and the third stage, voting on the best imaging modality in the proposed scenarios.
Findings: The results showed that the use of plain radiography for limb injuries, ultrasound for abdominal injuries, and CT scan for head injuries were prioritized, and the use of intravenous contrast media was prohibited in pregnant mothers as much as possible.
Conclusion: The large number of different opinions and views on the best imaging modalty in each scenario indicates the need to prepare a native guideline in trauma systems in this field so that the best imaging modality can be determined and prescribed, as much as possible, with the conditions and facilities of trauma centers across the country.
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