Uysal Gülsüm, Adıgüzel Fikriye Işıl, Hejazi Ghaith, Yücel Neşe
Department of Obstetrics and Gynecology, University of Health and Science Adana City Training and Research Hospital, Adana-Türkiye.
Department of Obstetrics and Gynecology, Bingöl State Hospital, Bingöl-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2025 Apr;31(4):358-364. doi: 10.14744/tjtes.2025.69209.
The Kahramanmaraş Earthquake, often referred to as the "disaster of the century," occurred on February 6, 2023. Following the 7.7 magnitude earthquake, extensive destruction and significant loss of life occurred across 10 provinces. This study aims to analyze the outcomes and share the surgical and radiologic algorithm applied to live, trauma-affected pregnant patients who were referred to the obstetrics and gynecology emergency department of our hospital following the earthquake.
This is a retrospective observational study. The study included pregnant patients affected by the earthquake who were admitted to and/or referred to the obstetrics and gynecology emergency department of a tertiary hospital between February 6 and March 6, 2023. Demographic data, trauma-related findings, surgical details, and obstetric outcomes were recorded.
A total of 58 pregnant earthquake victims were evaluated. The mean gestational age was 22.24±10.59 weeks. The most common obstetric complaint was pelvic pain or contractions (36.3%). Eleven patients gave birth, two via vaginal delivery and nine via cesarean section. The mean gestational age at delivery was 32.81 weeks. Curettage was performed in three patients, and hysterotomy in one patient. There were six live births and five stillbirths. In patients undergoing cesarean section, a midline incision was made. After delivery, the uterus was sutured, and intra-abdominal organs were evaluated. In cases of pelvic or other fractures, intraoperative scope devices were used. When necessary, patients were consulted by general surgery and orthopedics departments and were transferred to either the ward or the intensive care unit, depending on their clinical condition.
Ultrasound has become the primary diagnostic tool for emergency evaluation in pregnant women. For earthquake victims who lack access to radiological assessment and require rapid clinical decisions, the recommended surgical approaches, particularly midline incisions, and intraoperative evaluations (such as the use of intraoperative scope after delivery) can be life-saving for both the baby and the mother.
卡赫拉曼马拉什地震，常被称为“世纪灾难”，于2023年2月6日发生。在这场7.7级地震之后，10个省份遭受了广泛破坏，人员伤亡惨重。本研究旨在分析相关结果，并分享应用于地震后被转诊至我院妇产科急诊科的、受创伤影响的存活孕妇的手术及放射学处理流程。
这是一项回顾性观察研究。研究纳入了2023年2月6日至3月6日期间入住和/或转诊至一家三级医院妇产科急诊科的受地震影响的孕妇。记录了人口统计学数据、创伤相关发现、手术细节及产科结局。
共评估了58名怀孕的地震受害者。平均孕周为22.24±10.59周。最常见的产科主诉是盆腔疼痛或宫缩（36.3%）。11名患者分娩，其中2名经阴道分娩，9名经剖宫产分娩。分娩时的平均孕周为32.81周。3名患者进行了刮宫术，1名患者进行了子宫切开术。有6例活产和5例死产。剖宫产患者采用正中切口。分娩后，缝合子宫，并评估腹腔内器官。对于骨盆或其他骨折病例，使用了术中内镜设备。必要时，普通外科和骨科会诊患者，并根据其临床状况将其转至病房或重症监护病房。
超声已成为孕妇急诊评估的主要诊断工具。对于无法进行放射学评估且需要快速做出临床决策的地震受害者，推荐的手术方法，尤其是正中切口，以及术中评估（如分娩后使用术中内镜）对婴儿和母亲都可能是救命的。
