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Kingston, Nicola; Baillie, Tina; Chan, Yuen; Reddy, Desmond J.; Stables, Simon

doi:10.1097/00000433-200306000-00019

Cited by 3 publications

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“…During the last century, with decreased mortality of pregnant women by obstetrical causes, the role of non-obstetrical causes in mortality of this group of women has increased. Trauma has become a leading cause in mortality and complications in such patients ( Kingston et al, 2003 ). Trauma occurs in about 6-7% of pregnancies and has unfavorable outcomes in mother, her fetus, neonate and then infant ( El Kady, 2007 ).…”

Section: Introductionmentioning

confidence: 99%

Trauma in Pregnancy and Its Consequences in Kermanshah, Iran From 2007 to 2010

Zangene¹,

Ebrahimi²,

Najafi³

2014

GJHS

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Objective:Nowadays, with decreased mortality of pregnant women by obstetrical causes, trauma has become a leading cause of morbidity and mortality in pregnant women. This study was carried out to determine the frequency of trauma in pregnancy and related causes and selected consequences in pregnant women of Kermanshah, Iran from 2007 to 2010.Methods:In this descriptive-analytical study, all pregnant women who suffered trauma and were admitted to Imam Reza, Taleghani, and Motazedi hospitals located in Kermanshah from 2007-2010 were studied. Sampling was done by census method and medical records of all eligible patients were studied. Data analysis was done by the SPSS software for Windows 9ver. 16.0).Results:There were 102 cases of trauma in pregnancy registered in this time period. Mean age of the cases was 26 years. Most cases (43%) were in their third trimester of pregnancy upon admission. Most trauma cases were of blunt traumas (68%). In 68 cases (66.67%), trauma resulted in maternal injury (independent of pregnancy) and 13 cases (12.75%) resulted in obstetrical or fetal injuries. Maternal injuries showed significant difference (P= 0.02) in different years. Motor vehicle accidents with a frequency of 47% were the most common cause of trauma.Conclusion:Trauma in pregnancy can be a leading cause of injury and fatality in mother and fetus. The most common type of injury was motor vehicle accidents. Therefore, any strategy that can decrease the rate of motor vehicle accident in a community can decrease mortalities of women (even pregnant or non-pregnant).

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Section: Introductionmentioning

confidence: 99%

Trauma in Pregnancy and Its Consequences in Kermanshah, Iran From 2007 to 2010

Zangene¹,

Ebrahimi²,

Najafi³

2014

GJHS

View full text Add to dashboard Cite

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Placental abruption: epidemiology, risk factors and consequences

Tikkanen

2010

Acta Obstetricia Et Gynecologica Scandinavica

329

269

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Placental abruption, classically defined as a premature separation of the placenta before delivery, is one of the leading causes of vaginal bleeding in the second half of pregnancy. Approximately 0.4-1% of pregnancies are complicated by placental abruption. The prevalence is lower in the Nordic countries (0.38-0.51%) compared with the USA (0.6-1.0%). Placental abruption is also one of the most important causes of maternal morbidity and perinatal mortality. Maternal risks include obstetric hemorrhage, need for blood transfusions, emergency hysterectomy, disseminated intravascular coagulopathy and renal failure. Maternal death is rare but seven times higher than the overall maternal mortality rate. Perinatal consequences include low birthweight, preterm delivery, asphyxia, stillbirth and perinatal death. In developed countries, approximately 10% of all preterm births and 10-20% of all perinatal deaths are caused by placental abruption. In many countries, the rate of placental abruption has been increasing. Although several risk factors are known, the etiopathogenesis of placental abruption is multifactorial and not well understood.

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Nonhemorrhagic Primary Obstetric Shock

Habek

Habek²

2007

Fetal Diagn Ther

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Objective: Clinical evaluation of nonhemorrhagic primary obstetric shock (NHPOS). Methods: In a retrospective clinical study, data on 8 cases of NHPOS were analyzed. Data on patient age, parity, week of gestation, comorbidity, possible etiologic trigger, course of disease with clinical picture and laboratory findings of coagulopathy, and patient outcome including autopsy findings in two lethal outcomes were analyzed. Results: These 8 patients were treated in the intensive care unit. One patient died during delivery from cardiopulmonary arrest in the state of irreversible obstetric shock, verified by massive pulmonary thromboembolism at autopsy. Another patient died from stroke and cerebral coma caused by trophoblastic cerebrovascular embolism 5 days after artificial abortion, showing a clinical picture of shock and cardiopulmonary arrest. In 1 patient, severe septic shock developed several hours after premature stillbirth and abruptio placentae in the 26th week of pregnancy, associated with disseminated intravascular coagulopathy. Four patients developed intrapartum NHPOS, with a clinical picture of chest pain, dyspnea, tachycardia, hypotension, cyanosis, and disseminated intravascular coagulopathy, as demonstrated by laboratory findings. Based on clinical picture and laboratory findings, amniotic fluid embolism or trophoblastic embolism was suspected. All these patients survived. One patient developed NHPOS during the third labor stage after vacuum extraction because of a macrosomic child, followed by disseminated intravascular coagulopathy and secondary hemorrhage which necessitated B-Lynch procedures and total hysterectomy for massive bleeding. Hereditary thrombophilia was detected in subsequent patients. Conclusions: NHPOS can be caused by amniotic fluid embolism, trophoblastic embolism or thromboembolism, and sepsis. These conditions may frequently prove fatal due to their abrupt and unexpected course, mostly during pregnancy, delivery, or immediately thereafter.

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Cited by 3 publications

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Trauma in Pregnancy and Its Consequences in Kermanshah, Iran From 2007 to 2010

Trauma in Pregnancy and Its Consequences in Kermanshah, Iran From 2007 to 2010

Placental abruption: epidemiology, risk factors and consequences

Nonhemorrhagic Primary Obstetric Shock

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