Pregnancy course and outcome following blunt trauma

Nir Melamed, Amir Aviram, Michal Silver, Yoav Peled, Arnon Wiznitzer, Marek Glezerman, Yariv Yogev

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To investigate short-and long-term outcome following blunt trauma in pregnancy, and to identify risk factors for adverse pregnancy outcome in these cases. Methods: A retrospective cohort study of all pregnant women who were admitted following blunt trauma (N411). Women who experienced immediate complications (N13) were compared with those who did not (N398). Pregnancy outcome of women who experienced trauma during pregnancy and did not deliver during the trauma admission (N303) were compared with a control group of women matched to by maternal age and parity in a 3:1 ratio (N909). Results: The overall rate of immediate complications was 3.2%, with the most common complications being preterm labor (2.0%) and placental abruption (1.7%). Independent risk factors for immediate complications were higher severity of trauma, multiple gestation, vaginal bleeding and uterine contractions at admission. Patients who experienced trauma were at increased risk for long-term adverse outcome including preterm labor, placental abruption, and perinatal morbidity. Increased trauma severity (ISS ≥ 5) and the need for laparotomy during the trauma hospitalization were independently associated with long-term adverse pregnancy outcome. Conclusion: Trauma during pregnancy is associated with both immediate and long-term adverse pregnancy outcome. Women who experience trauma should be followed more closely throughout pregnancy.

Original languageEnglish
Pages (from-to)1612-1617
Number of pages6
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume25
Issue number9
DOIs
StatePublished - Sep 2012
Externally publishedYes

Keywords

  • Blunt
  • Pregnancy
  • Trauma

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