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

Document Type : Original Article

Authors

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.

Abstract

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.

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References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 27, Issue 7
September 2024
Pages 18-27

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