Division of Plastic Surgery, Alex Ekwueme Federal University Teaching Hospital, Nigeria.
Division of Plastic Surgery, Department of Surgery.
Malawi Med J. 2021 Sep;33(3):204-209. doi: 10.4314/mmj.v33i3.8.
Burns in pregnancy is often associated with high maternal and fetal morbidity and mortality especially when the total burn surface area (TBSA) involved is high. This study aims to review management outcome of cases of burns in pregnancy at Alex Ekwueme Federal University Teaching Hospital Abakaliki (AE-FUTHA).
A five year retrospective study of all pregnant women that presented at AE-FUTHA with burn injury between April 2014 and March 2019. Information was collected from the medical records using a proforma and analyzed with IBM SPSS Statistics version 20.0 (IBM Corp., Armonk, NY, USA) using descriptive statistics.
A total of 222 cases of burns were managed but only 8 were pregnant, giving an incidence of 3.6%. The commonest causes were flame (62.5%), scald (25%) and friction (12.5%) occurring mostly during the harmattan season. The median age of participants was 25-34 years. The burns affected 12.5% of the patients in the first trimester and 62.5% and 25% in the 2nd and 3rd trimesters respectively. Most patients (62.5%) had superficial burns while 25% had other associated injuries in addition to burns. About 87.5% had term spontaneous vaginal delivery. There was no maternal death but, there was an early neonatal death.
The good outcome observed in this study with a 100% survival, could be explained by inter-disciplinary management approach given, even as most cases were minor degrees of burns. Early involvement of obstetricians in all burns affecting pregnant women is advised especially in burn centres where obstetricians are hardly in the employ.
妊娠合并烧伤常伴有较高的母婴发病率和死亡率，尤其是当总烧伤面积（TBSA）较高时。本研究旨在回顾分析阿埃克韦梅联邦大学教学医院（AE-FUTHA）妊娠合并烧伤患者的治疗结果。
这是一项对 2014 年 4 月至 2019 年 3 月期间在 AE-FUTHA 因烧伤就诊的所有孕妇进行的五年回顾性研究。使用表格从病历中收集信息，并使用 IBM SPSS Statistics 版本 20.0（IBM 公司，纽约州阿蒙克）进行分析，采用描述性统计。
共收治 222 例烧伤患者，但只有 8 例为孕妇，发病率为 3.6%。最常见的原因是火焰（62.5%）、烫伤（25%）和摩擦（12.5%），主要发生在哈马丹季节。参与者的中位年龄为 25-34 岁。烧伤影响了 12.5%的患者在第一 trimester，62.5%和 25%的患者在第二和第三 trimester。大多数患者（62.5%）为浅度烧伤，而 25%的患者除烧伤外还有其他相关损伤。约 87.5%的患者足月自然阴道分娩。没有孕产妇死亡，但有 1 例新生儿早期死亡。
本研究观察到的良好结果，100%的存活率，可以通过多学科管理方法来解释，即使大多数病例为轻度烧伤。建议所有烧伤孕妇，特别是在烧伤中心，都应尽早让妇产科医生参与进来，因为在烧伤中心妇产科医生几乎没有被雇佣。
