Fetal Death after Trauma in Pregnancy

Trauma in pregnancy places the mother and fetus at risk. The objective of this study is to identify risk factors independently associated with acute termination of pregnancy and/or fetal mortality after trauma. The medical and trauma registry records of 80 injured pregnant patients were reviewed. Da...

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Veröffentlicht in:	The American surgeon 2000-09, Vol.66 (9), p.809-812
Hauptverfasser:	Theodorou, Dimitrios A., Velmahos, George C., Souter, Irene, Chan, Linda S., Vassiliu, Pantelis, Tatevossian, Raymond, Murray, James A., Demetriades, Demetrios
Format:	Artikel
Sprache:	eng
Schlagworte:	Abbreviated Injury Scale Abortion, Spontaneous - etiology Adult Analysis of Variance Biological and medical sciences Cause of Death Confidence Intervals Female Fetal Death - etiology Fetal Monitoring Forecasting Glasgow Coma Scale Gynecology. Andrology. Obstetrics Health risk assessment Hemodynamics - physiology Humans Infant mortality Injury Severity Score Likelihood Functions Management. Prenatal diagnosis Medical sciences Monitoring, Physiologic Mothers Multivariate Analysis Odds Ratio Pregnancy Pregnancy Complications - classification Pregnancy Complications - physiopathology Pregnancy Outcome Pregnancy. Fetus. Placenta Registries Retrospective Studies Risk Factors Survival Rate Wounds and Injuries - classification Wounds and Injuries - complications Wounds and Injuries - physiopathology
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Beschreibung
Zusammenfassung:	Trauma in pregnancy places the mother and fetus at risk. The objective of this study is to identify risk factors independently associated with acute termination of pregnancy and/or fetal mortality after trauma. The medical and trauma registry records of 80 injured pregnant patients were reviewed. Data were collected and then analyzed by univariate and multivariate analysis. Three patients died (3.7%), 23 had the pregnancy acutely terminated (30%), and 14 suffered fetal death (17.5%). The only independent risk factors for fetal mortality were an Injury Severity Score (ISS) ≥9 and a nonviable pregnancy (
ISSN:	0003-1348 1555-9823
DOI:	10.1177/000313480006600901