Physical trauma etiologies in pregnancy in Turkey

Abstract

Physical trauma etiologies in pregnancy in Turkey Seda Akgün Kavurmacı1, * , Ayşegül Gülbahar1 1 Izmir Katip Celebi University, Ataturk Training and Research Hospital Department of Obstetrics and Gynecology, 35360 Izmir, Turkey *Correspondence: doctor_seda@hotmail.com (Seda Akgün Kavurmacı) DOI:10.31083/j.ceog.2021.02.2268 This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/). Submitted: 23 August 2020 Revised: 21 October 2020 Accepted: 28 October 2020 Published: 15 April 2021 Background: Pregnancy and trauma combination is a rare condition whichrequiresadditionalattention. Adequateexperienceandamultidisciplinary approach are important to maintain maternal and fetal health. This study aimed to analyze trauma cases during pregnancy. Methods: We investigated the data of pregnant womens who were admitted to our emergency department aȻter trauma between 2014 and 2019. We recorded trauma etiologies and the distribution of etiologies based on variables such as age, gravidity number and pregnancyweek. Inaddition, weanalyzedobstetric/non-obstetricinjuries and pregnancy outcomes. Results: This study included 1031 cases. The mean age was 25.9 ± 5.8 (15--48) years. The second trimester had the highest number of trauma cases (411 [39.9%]), whereas the first trimester had the lowest (221 [21.4%] patients). Trauma cases were highest during the first pregnancy (420 [40.7%]). Blunt trauma was the main trauma mechanism (1007 of 1031 cases [97.7%]). The most common trauma etiology was simple fall (SF) (503 [48.8%]). The second common trauma mechanism was assault and aȞfected 180 (17.5%) of patients. In 46 (25.6%) cases assailant was patients partner. The most common obstetric symptom was vaginal bleeding (2.7%), and the most common bone fracture was tibial fracture (0.5%). Conclusions: The etiologies of trauma in pregnant women significantly diȞfer from the normal population. SFs and assaults play a major role in the etiology. Knowledge of the distribution of these etiologies according to pregnancy week may allow preventive measures to be taken. Keywords Pregnancy; Trauma; Assault; Fall; Accident; Electric shock