Pattern of Trauma In Pregnant Women and Outcome of Its Management

Shireen Abdul Aziz Ramzanali, Shamsa Alnoor Kassam

Abstract

Objective

To document the pattern of trauma during pregnancy and outcome of its management.

Study design

Descriptive study.

Place & Duration of study

Department of Surgery, Sir Syed Medical College Hospital Karachi, from January 2019 to December 2024.

Methods

All pregnant trauma victims who presented to the emergency department below 40-year of age with no known co-morbid were included in the study after taking their informed consent. The data were collected in two time periods, a retrospective review of records and a prospective data collection in a descriptive study design. A data collection form was developed to collect variables related to the mechanism of injury, clinical presentation along-with resuscitation, investigations performed, treatment provided and maternal and fetal outcome. Data were presented as mean with standard deviation and in frequency and percentages for continuous and categorical variables.

Results 

A total of fifty patients were included in the study. The mean age of the patient was 26.50±4.50 year. Motor vehicle collision (MCV) was the most common mechanism of injury noted in 27 (54%) women. Majority of the pregnant trauma victim presented during their third trimester of pregnancy. Forty (80%) patients were treated under Obstetrics and gynecological services. Surgery was performed in 30 (60 %) women of which eight (16%) underwent cesarean section. Two (4%) women and four (8%) fetuses died in this series.

Conclusion••The motor vehicle collision was the most frequent mechanism of injury in pregnant women. Most of the women required surgical intervention. The cesarean section was performed in few patients. Three women and four fetuses died in this series.

Conclusion

The motor vehicle collision was the most frequent mechanism of injury in pregnant women. Most of the women required surgical intervention. The cesarean section was performed in few patients. Three women and four fetuses died in this series.

Key words 

Pregnancy, Trauma, Injuries, Fetus, Cesarean section.