The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Trauma in Pregnancy: A Case Series and Literature Review

Document Type : Case report

Authors
Seyyed Majid Sadrzadeh 1
Seyyed Mohamad Mousavi 1
Behrang Rezvani Kakhki 1
Kosar Deldar 2
Shaghyaegh Rahmani 2
1 Assistant Professor, Department of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Resident of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/ijogi.2018.11653
Abstract
Introduction: Trauma in pregnancy is a major cause of hospital admission and maternal and fetal mortality. Some of the main complications of trauma in pregnant women are intrauterine death, shock, placental abruption, intraperitoneal hemorrhage, and direct fetal injury. The present study aimed to report some of the cases of trauma in pregnancy and review the previous studies in this regard.
Case Presentation: In this case series, we presented the case of four pregnant women with trauma, who referred to various teaching hospitals in Mashhad, Iran. The subjects had blunt abdominal trauma, burn injuries, multiple trauma, and traumatic brain injury.
Conclusion: Stabilizing the mother is the primary goal in the management of traumatized, pregnant patients. In many cases, fetal outcome is directly correlated with the rapid, thorough maternal resuscitation. In viable fetuses, fetal monitoring is crucial. On the other hand, due to the high rate of complications during pregnancy, educational interventions should be considered for pregnant women and their families. Furthermore, pregnant women must be aware of risky conditions, such as motorcycle riding and not using seatbelts.
Keywords
pregnancy
Trauma
Accident
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 21, Issue 6
August 2018
Pages 92-99