Department of Surgery, Trauma Surgery, Hamad General Hospital, P.O Box 3050, Doha, Qatar.
Department of Surgery, Trauma & Vascular Surgery, Clinical Research, Hamad General Hospital, Doha, Qatar.
Eur J Trauma Emerg Surg. 2019 Jun;45(3):393-401. doi: 10.1007/s00068-018-0948-1. Epub 2018 Mar 27.
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.
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.
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%).
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.
妊娠创伤的确切发生率尚不清楚，但据估计，创伤几乎占 12 例妊娠中的 1 例，是孕产妇死亡的主要非产科原因。
对 2013 年 7 月至 2015 年 6 月期间在国家一级创伤中心就诊的所有孕妇进行了回顾性研究。采用描述性和推断性统计方法进行数据分析。
在整个研究期间，共有 95 名孕妇到创伤中心就诊。创伤性损伤的平均发生率为每 1000 名就诊于哈马德创伤中心的育龄妇女中有 250 例。患者的平均年龄为 30.4±5.6 岁，年龄范围为 20 至 42 岁。受伤时的平均孕龄为 24.7±8.7 周，范围为 5 至 37 周。大多数（47.7%）处于妊娠晚期。此外，大多数损伤是由多车碰撞（74.7%）引起的，其次是跌倒（15.8%）。
妊娠期间的创伤并非罕见事件，尤其是在与交通相关的事故中。由于这对创伤外科医生和产科医生来说是一种复杂的情况，因此需要适当的管理方案和多学科团队，以改善母婴的结局并挽救生命。
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