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Blunt traumatic injury during pregnancy: a descriptive analysis from a level 1 trauma center

  • Hassan Al-Thani
  • Ayman El-Menyar
  • Brijesh Sathian
  • Ahammed Mekkodathil
  • Sam Thomas
  • Monira Mollazehi
  • Maryam Al-Sulaiti
  • Husham Abdelrahman
Original Article

Abstract

Purpose

The precise incidence of trauma in pregnancy is not well-known, but trauma is estimated to complicate nearly 1 in 12 pregnancies and it is the leading non-obstetrical cause of maternal death.

Methods

A retrospective study of all pregnant women presented to national level 1 trauma center from July 2013 to June 2015 was conducted. Descriptive and inferential statistics applied for data analysis.

Results

Across the study period, a total of 95 pregnant women were presented to the trauma center. The average incidence rate of traumatic injuries was 250 per 1000 women of childbearing age presented to the Hamad Trauma Center. The mean age of patients was 30.4 ± SD 5.6 years, with age ranging from 20 to 42 years. The mean gestational age at the time of injury was 24.7 ± 8.7 weeks which ranged from 5 to 37 weeks. The majority (47.7%) was in the third trimester of the pregnancy. In addition, the large majority of injuries was due to MVCs (74.7%) followed by falls (15.8%).

Conclusions

Trauma during pregnancy is not an uncommon event particularly in the traffic-related crashes. As it is a complex condition for trauma surgeons and obstetrician, an appropriate management protocol and multidisciplinary team are needed to improve the outcome and save lives of both the mother and fetus.

Keywords

Trauma Pregnancy Motor vehicle crash Childbearing 

Notes

Acknowledgements

The authors thank the entire registry database team in the Trauma Surgery Section, Hamad General Hospital, Doha, Qatar.

Author contributions

HA was involved in study design, data acquisition, writing the manuscript and review, AE&BS: study design, data analysis and interpretation, drafting and critical review of manuscript; AM, MA, MM, ST, HA data acquisition, interpretation and drafting the manuscript.

Funding

This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.

Compliance with ethical standards

Ethical approval

This study has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendment. This study obtained ethical approval from Research Ethics Committee, at Medical Research Center, Hamad Medical Corporation (HMC), Doha, Qatar (IRB#15316/15).

Conflict of interest

The authors have no conflict of interest, no financial issues to disclose and no funding was received for this study.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery, Trauma SurgeryHamad General HospitalDohaQatar
  2. 2.Department of Surgery, Trauma & Vascular Surgery, Clinical ResearchHamad General HospitalDohaQatar
  3. 3.Clinical MedicineWeill Cornell Medical SchoolDohaQatar
  4. 4.Department of Surgery, Trauma Surgery, Trauma RegistryHamad General HospitalDohaQatar
  5. 5.Department of Surgery, General SurgeryHamad General HospitalDohaQatar

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