Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana
Yıl: 2023 Cilt: 28 Sayı: 1 Sayfa Aralığı: 41 - 46 Metin Dili: İngilizce DOI: 10.17986/blm.1620 İndeks Tarihi: 30-05-2023
Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana
Öz: Objective: Traumatic injury during pregnancy is one of the leading causes of non-obstetric or accidental maternal mortality and disability in women. The aim of the study was to evaluate the relationship between the severity of injuries in pregnant women and termination of pregnancy, which are qualified as “serious harm to health” in accordance with the conclusions of forensic medical examination in the medical injury documentation of pregnant women. Methods: The study examined retrospectively the records of forensic medical examinations of pregnant women where the bodily injury was qualified as “serious harm to health” between 2008 and 2017 in the Institute of Forensic Examinations in Astana. The analysis of the conditions and mechanisms of occurrence of injury, the type and area of injury, and the outcome of the pregnancy was also included in the research. Results: Between 2008 and 2017, 12 pregnant women were found to have injuries that is qualified as serious harm to health. The traffic accidents led the causes of injury with eight cases (66.7%). In the remaining cases, one of the pregnant women had mechanical injury during the fire, the other had a sexual assault with a bottle, and two cases had penetrating stab injuries. The pregnancy outcomes were as follows: intrauterine fetal death at week 30 and 35 occurred in two cases, spontaneous miscarriage at week 20 in one case and medical abortion at 6 week in one case which amounts to 33.3%. Conclusion: All cases of termination were accompanied by severe combined injuries in pregnant women and an unfavorable outcome is more often observed with polytrauma.
Anahtar Kelime: Astana’da 2008-2017 Adli Muayenelerine Göre Gebe Kadınlarda Ağır Yaralanmanın Gebelik Sonucuna Etkisinin Analizi
Öz: Amaç: Gebelikte travmatik yaralanmalar, kadınlarda obstetrik olmayan veya kaza sonucu meydana gelen anne ölümlerinin ve morbiditenin önde gelen nedenlerindendir. Çalışmanın amacı, gebelerin tıbbi yaralanma belgelerinde adli tıbbi muayene sonuçları doğrultusunda ağır bedensel zarar olarak nitelendirilen gebelerdeki yaralanmaların şiddeti ile gebeliğin sonlandırılması arasındaki ilişkiyi değerlendirmektir. Yöntem: Çalışmada 2008-2017 yılları arasında Astana Adli İnceleme Enstitüsü’nde bedensel yaralanması ağır bedensel zarar olarak nitelendirilen gebelerin adli tıbbi muayene kayıtları geriye dönük olarak incelendi. Yaralanmanın oluşum koşulları ve mekanizmaları, yaralanmanın türü ve lokalizasyonu ve gebelik sonucu araştırmaya dahil edildi. Bulgular: 2008-2017 yılları arasında 12 gebe kadının ağır bedensel zarar olarak nitelendirilen yaralanmalara sahip olduğu tespit edildi. Trafik kazaları sekiz olgu ile (%66,7) yaralanma nedenlerine öncülük etti. Diğer olgulara bakıldığında gebe kadınlardan birinde yangın sırasında mekanik yaralanma, diğerinde şişe ile cinsel saldırı ve iki olguda delici alet yaralanması mevcuttu. Gebelik sonuçları şu şekildeydi: iki olguda 30 ve 35. haftalarda intrauterin fetal ölüm, bir olguda 20. haftada spontan düşük meydana geldi, bir olguda 6. haftada medikal abortus gerçekleştirildi, bu da %33,3’e tekabül ediyor. Sonuç: Gebelik sonlandırma olgularına ciddi kombine yaralanmaların eşlik ettiği ve multipl travmalarda daha sık olumsuz sonuç meydana geldiği gözlemlenmiştir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Shatalova Y, Zhakupova T, Galitskiy F, GULMEN M, Kaya K, Koca Yavuz T (2023). Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. , 41 - 46. 10.17986/blm.1620 |
| Chicago | Shatalova Yevgeniya,Zhakupova Tolkyn,Galitskiy Frants,GULMEN METE KORKUT,Kaya Kenan,Koca Yavuz Tugce Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. (2023): 41 - 46. 10.17986/blm.1620 |
| MLA | Shatalova Yevgeniya,Zhakupova Tolkyn,Galitskiy Frants,GULMEN METE KORKUT,Kaya Kenan,Koca Yavuz Tugce Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. , 2023, ss.41 - 46. 10.17986/blm.1620 |
| AMA | Shatalova Y,Zhakupova T,Galitskiy F,GULMEN M,Kaya K,Koca Yavuz T Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. . 2023; 41 - 46. 10.17986/blm.1620 |
| Vancouver | Shatalova Y,Zhakupova T,Galitskiy F,GULMEN M,Kaya K,Koca Yavuz T Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. . 2023; 41 - 46. 10.17986/blm.1620 |
| IEEE | Shatalova Y,Zhakupova T,Galitskiy F,GULMEN M,Kaya K,Koca Yavuz T "Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana." , ss.41 - 46, 2023. 10.17986/blm.1620 |
| ISNAD | Shatalova, Yevgeniya vd. "Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana". (2023), 41-46. https://doi.org/10.17986/blm.1620 |
| APA | Shatalova Y, Zhakupova T, Galitskiy F, GULMEN M, Kaya K, Koca Yavuz T (2023). Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. Adli Tıp Bülteni, 28(1), 41 - 46. 10.17986/blm.1620 |
| Chicago | Shatalova Yevgeniya,Zhakupova Tolkyn,Galitskiy Frants,GULMEN METE KORKUT,Kaya Kenan,Koca Yavuz Tugce Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. Adli Tıp Bülteni 28, no.1 (2023): 41 - 46. 10.17986/blm.1620 |
| MLA | Shatalova Yevgeniya,Zhakupova Tolkyn,Galitskiy Frants,GULMEN METE KORKUT,Kaya Kenan,Koca Yavuz Tugce Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. Adli Tıp Bülteni, vol.28, no.1, 2023, ss.41 - 46. 10.17986/blm.1620 |
| AMA | Shatalova Y,Zhakupova T,Galitskiy F,GULMEN M,Kaya K,Koca Yavuz T Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. Adli Tıp Bülteni. 2023; 28(1): 41 - 46. 10.17986/blm.1620 |
| Vancouver | Shatalova Y,Zhakupova T,Galitskiy F,GULMEN M,Kaya K,Koca Yavuz T Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana. Adli Tıp Bülteni. 2023; 28(1): 41 - 46. 10.17986/blm.1620 |
| IEEE | Shatalova Y,Zhakupova T,Galitskiy F,GULMEN M,Kaya K,Koca Yavuz T "Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana." Adli Tıp Bülteni, 28, ss.41 - 46, 2023. 10.17986/blm.1620 |
| ISNAD | Shatalova, Yevgeniya vd. "Analysis of the Pregnancy Outcome in Severe Injury in Pregnant Women According to Forensic Examinations for 2008-2017 in Astana". Adli Tıp Bülteni 28/1 (2023), 41-46. https://doi.org/10.17986/blm.1620 |
