Sparić Radmila, Malvasi Antonio, Nejković Lazar, Tinelli Andrea
a Clinic of Gynecology and Obstetrics, Clinical Center of Serbia , Belgrade , Serbia .
b Department of Obstetrics and Gynecology , Santa Maria Hospital , Bari , Italy .
J Matern Fetal Neonatal Med. 2016;29(2):317-23. doi: 10.3109/14767058.2014.1000295. Epub 2015 Jan 23.
The effect of gestational age and other factors that could influence the outcome of an electric shock in pregnancy have not been defined yet. Objective of this study is to provide reliable data on medical issues linked to electric shock in pregnancy.
Authors consulted the most important scientific databases investigating reactions to electric shock in pregnancy, analyzing mechanism of electric shock, gestational age at the time of injury, the post-shock complications, interval from injury to delivery and fetal and maternal outcome.
The spectrum of electrical injuries in pregnancy ranges from transient unpleasant sensation with no effect on the fetus to sudden maternal and fetal death. The clinical presentation of the fetal injury may manifest immediately or even postnataly. Reported outcomes include spontaneous abortion, placental abruption, cardiac arrhythmias, fetal burn and intrauterine fetal death. If the pregnancy is continued, decreased fetal movements and asphyxia, pathological fetal heart patterns, intrauterine fetal growth retardation, damage to the fetal central nervous system and oligoamnios can occur.
More large prospective observational studies are necessary for a proper insight into the expected outcomes of the electric shock in pregnancy as well as for a final definition of monitoring procedures of such pregnancies.
妊娠周数及其他可能影响孕期电击结局的因素尚未明确。本研究的目的是提供与孕期电击相关医学问题的可靠数据。
作者查阅了调查孕期电击反应的最重要科学数据库，分析电击机制、受伤时的妊娠周数、电击后并发症、受伤至分娩的间隔时间以及胎儿和母亲的结局。
孕期电击损伤范围从对胎儿无影响的短暂不适感觉到母婴突然死亡。胎儿损伤的临床表现可能立即出现，甚至在出生后才表现出来。报告的结局包括自然流产、胎盘早剥、心律失常、胎儿烧伤和宫内胎儿死亡。如果继续妊娠，可能会出现胎动减少和窒息、胎儿心脏异常、胎儿宫内生长受限、胎儿中枢神经系统损伤和羊水过少。
需要更多大型前瞻性观察性研究，以便正确了解孕期电击的预期结局，并最终确定此类妊娠的监测程序。
