Minor trauma in pregnancy: Evaluation of 173 cases

AKALTUN, Cem; ÜSTÜNYURT, Emin

Minor trauma in pregnancy: Evaluation of 173 cases

Emin ÜSTÜNYURT, (Sağlık Bakanlığı, Bursa Şevket Yılmaz Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Bursa, Türkiye)

Cem AKALTUN (Sağlık Bakanlığı, Bursa Şevket Yılmaz Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Bursa, Türkiye)

Journal of Clinical and Analytical Medicine

2 0

Yıl: 2015 Cilt: 6 Sayı: 3 Sayfa Aralığı: 349 - 352 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Minor trauma in pregnancy: Evaluation of 173 cases

Öz:

Amaç: Bu çalışmanın amacı gebelikte minör travma sıklığının, türlerinin vesonuçlarının araştırılmasıdır. Gereç ve Yöntem: Nisan 2011-Ekim 2012 tarihleri arasında Bursa Şevket Yılmaz Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Acil Polikliniğine başvuran 33000 hasta kaydı incelenerek, minör travma şikayeti bulunan 173 gebe kadın çalışma kapsamına alındı.Bulgular: Gebelikte minör travma nedeni ile acil polikliniğe başvurma sıklığı% 0.5 olarak saptandı. Olguların yaş ortalaması 26.8 ± 5.4 idi. En sık travmaşekli düşme (% 54.9) olarak belirlendi. Hastaneye başvuru sırasında ortalamagebelik hafası 21.6 ± 9.2 ve olguların % 51i ikinci trimesterdeydi. Hastaların % 83.2sinin başvuru sırasında, travma öyküsü haricinde ek şikayeti yoktu. Geri kalan grupta en sık şikayet karın ağrısı idi (%13.3). Başvuru sırasındayapılan ultrasonografilerde 1 olguda intrauterin fetal kayıp tespit edildi. Hastaların hospitalizasyon oranı % 5.2 olarak gerçekleşti. Minör travma olgularının hiçbirisinde travma sonrası erken dönemde (1 hafa içerisinde) abortus,fetal kayıp ya da preterm doğum meydana gelmedi. Tartışma: Gebelikteki minör travma sonuçları genel olarak olumlu olduğundan, anormal bulguları olmayan bu tür olgularda ayrıntılı inceleme gerekli değildir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Gebelikte minör travma: 173 olgunun değerlendirilmesi

Öz:

Aim: The aim of this study is to investigate the incidence, types and theoutcomes of trauma in pregnancy. Material and Method: The medical reportsof 33000 patients, who were admitted to the emergency outpatient clinic ofObstetrics and Gynecology Department of Bursa Şevket Yılmaz Research andEducation Hospital between April 2011 and October 2012, were analyzedand 173 pregnant women with minor trauma were included in the study.Results: The incidence of admittance for minor trauma during pregnancy was0.5 %. The mean age of the cases was 26.8 ± 5.4. The most common typeof trauma was found as the falling (54.9 %). The mean gestational age was21.6 ± 9.2 weeks and 51 % of the cases were in the second trimester at thetime of admission. At the time of admission, 83 % of patients had no othercomplaints except trauma. Abdominal pain was the most common symptomamong the rest of the group (13.3 %). One fetal death was determined byultrasonography at the time of admittance. The hospitalization rate was 5.2%. There were no preterm delivery or fetal death during the early period aferthe trauma (1 week). Discussion: As the outcomes of minor trauma in pregnancy are favorable generally, extensive evaluation is unnecessary in thosecases without abnormal signs.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Cusick SS, Tibbles CD. Trauma in pregnancy. Emerg Med Clin North Am 2007;25(3):861-72.
2. Mattox KL, Goetzl L. Trauma in pregnancy. Crit Care Med 2005;33(10):385-9.
3. Chames MC, Pearlman MD. Trauma during pregnancy: outcomes and clinical management. Clin Obstet Gynecol 2008;51(2):398-408.
4. Jacob S, Bloebaum L, Shah G, Varner MW. Maternal mortality in Utah. Obstet Gynecol 1998;91(2):187-91.
5. Connolly AM, Katz VL, Bash KL, McMahon MJ, Hansen WF. Trauma and pregnancy. Am J Perinatol 1997;14(6):331-6.
6. Shah KH, Simons RK, Holbrook T, Fortlage D, Winchell RJ, Hoyt DB. Trauma in pregnancy: maternal and fetal outcomes. J Trauma 1998;45(1):83-6.
7. Mendez-Figueroa H, Dahlke JD, Vrees RA, Rouse DJ. Trauma in pregnancy: an up- dated systematic review. Am J Obstet Gynecol 2013;209(1):1-10.
8. Johnson, J. D., & Oakley, L. E. Managing minor trauma during pregnancy. Journal of Obstetric, Gynecologic, and Neonatal Nursing 1991;20:37984.
9. Weiss, H. B. Pregnancy-associated injury hospitalizations in Pennsylvania, 1995. Annals of Emergency Medicine 1999;34:62636.
10. Williams JK, McClain L, Rosemurgy AS, Colorado NM. Evaluation of blunt abdominal trauma in the third trimester of pregnancy: Maternal and fetal considerations. Obstet Gynecol 1990;75(1):33-7.
11. Rogers FB, Rozycki GS, Osler TM, Shackford SR, Jalbert J, Kirton O, et al. A multi-institutional study of factors associated with fetal death in injured pregnant patients. Arch Surg 1999;134(11):1274-7.
12. Curet MJ, Schermer CR, Demarest GB, Bieneik EJ, Curet LB. Predictors of out- come in trauma during pregnancy: identification of patients who can be monito- red for less than 6 hours. J Trauma 2000;49(1):18-24.
13. Shah KH, Simons RK, Holbrook T, Fortlage D, Winchell RJ, Hoyt DB. Trauma in pregnancy: maternal and fetal outcomes. J Trauma 1998;45(1):83-6.
14. Dahmus MA, Sibai BM. Blunt abdominal trauma: are there any predictive factors for abruptio placentae or maternal-fetal distress? Am J Obstet Gynecol 1993;169(4):1054-9.
15. Guth AA, Pachter L. Domestic violence and the trauma surgeon. Am J Surg 2000;179(2):134-40.
16. Rudlof U. Trauma in pregnancy. Arch Gynecol Obstet 2007;276(2):101-17.
17. Bochicchio GV, Napolitano LM, Haan J, Champion H, Scalea T. Incidental pregnancy in trauma patients. J Am Coll Surg 2001;192(5):566-9.
18. ACOG educational bulletin. Obstetrics aspects of trauma management. Int J Gynecol Obstet 1999;64:87-94.
19. North DL. Radiation doses in pregnant women. J Am Coll Surg 2002;194(1):100- 1.
20. Goodwin TM, Breen MT. Pregnancy outcome and fetomaternal hemorrhage after noncatastrophic trauma. Am J Obstet Gynecol 1990;162(3):665-71.
21. Özgün MT, Batukan C, Başbuğ M. Nonobstetrik akut batın ve gebelikte fiziksel travma. Türkiye Klinikleri Acil Tıp Dergisi 2006;2:19-24.
22. Morris JA Jr, Rosenbower TJ, Jurkovich GJ, Hoyt DB, Harviel JD, Knudson MM, et al. Infant survival afer cesarean section for trauma. Ann Surg 1996;223(5):481-8.
23. Poole GV, Martin JN Jr, Perry KG Jr, Griswold JA, Lambert CJ, Rhodes RS. Trauma in pregnancy: the role of interpersonal violence. Am J Obstet Gynecol 1996;174(6):1873-7.
24. Esposito TJ, Gens DR, Smith LG, Scorpio R, Buchman T. Trauma during pregnancy. A review of 79 cases. Arch Surg 1991;126(9):1073-8.
25. Cahill AG, Bastek JA, Stamilio DM, Odibo AO, Stevens E, Macones GA. Minor trauma in pregnancy-is the evaluation unwarranted? Am J Obstet Gynecol 2008;198(208):1-5.

APA	ÜSTÜNYURT E, AKALTUN C (2015). Minor trauma in pregnancy: Evaluation of 173 cases. , 349 - 352.
Chicago	ÜSTÜNYURT Emin,AKALTUN Cem Minor trauma in pregnancy: Evaluation of 173 cases. (2015): 349 - 352.
MLA	ÜSTÜNYURT Emin,AKALTUN Cem Minor trauma in pregnancy: Evaluation of 173 cases. , 2015, ss.349 - 352.
AMA	ÜSTÜNYURT E,AKALTUN C Minor trauma in pregnancy: Evaluation of 173 cases. . 2015; 349 - 352.
Vancouver	ÜSTÜNYURT E,AKALTUN C Minor trauma in pregnancy: Evaluation of 173 cases. . 2015; 349 - 352.
IEEE	ÜSTÜNYURT E,AKALTUN C "Minor trauma in pregnancy: Evaluation of 173 cases." , ss.349 - 352, 2015.
ISNAD	ÜSTÜNYURT, Emin - AKALTUN, Cem. "Minor trauma in pregnancy: Evaluation of 173 cases". (2015), 349-352.

APA	ÜSTÜNYURT E, AKALTUN C (2015). Minor trauma in pregnancy: Evaluation of 173 cases. Journal of Clinical and Analytical Medicine, 6(3), 349 - 352.
Chicago	ÜSTÜNYURT Emin,AKALTUN Cem Minor trauma in pregnancy: Evaluation of 173 cases. Journal of Clinical and Analytical Medicine 6, no.3 (2015): 349 - 352.
MLA	ÜSTÜNYURT Emin,AKALTUN Cem Minor trauma in pregnancy: Evaluation of 173 cases. Journal of Clinical and Analytical Medicine, vol.6, no.3, 2015, ss.349 - 352.
AMA	ÜSTÜNYURT E,AKALTUN C Minor trauma in pregnancy: Evaluation of 173 cases. Journal of Clinical and Analytical Medicine. 2015; 6(3): 349 - 352.
Vancouver	ÜSTÜNYURT E,AKALTUN C Minor trauma in pregnancy: Evaluation of 173 cases. Journal of Clinical and Analytical Medicine. 2015; 6(3): 349 - 352.
IEEE	ÜSTÜNYURT E,AKALTUN C "Minor trauma in pregnancy: Evaluation of 173 cases." Journal of Clinical and Analytical Medicine, 6, ss.349 - 352, 2015.
ISNAD	ÜSTÜNYURT, Emin - AKALTUN, Cem. "Minor trauma in pregnancy: Evaluation of 173 cases". Journal of Clinical and Analytical Medicine 6/3 (2015), 349-352.