Pregnancy-Associated Injury Hospitalizations in Pennsylvania, 1995

Weiss, Harold B.

doi:10.1016/s0196-0644(99)70165-4

Cited by 93 publications

(70 citation statements)

References 24 publications

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“…The mortality in motor vehicle accidents is high as they lead to high energy trauma. Weiss et al (14) and McFarlane et al (15) reported known risk factors for trauma during pregnancy as young maternal age, drug and alcohol use and domestic violence. Tinker et al (1) reported risk factors as young maternal age, smoking and alcohol use, seizures, obesity and women's participation in working life.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy and trauma: analysis of 139 cases

Karadaş¹,

Gönüllü²,

Öncü³

et al. 2012

J Turkish German Gynecol Assoc

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Objective:The aim of this study was to examine the diagnoses and treatment methods and demographical and clinical characteristics of pregnant women who were exposed to trauma and in additon, review of the literature was carried out in this regard. Material and Methods:One hundred thirty-nine pregnant women who presented at the Yüzüncü Yıl University between January 2006 and September 2009 with local or general body trauma complaints were analysed retrospectively. Results:The average age of the cases was 26.72±6.29 years and the age group ranging from 21-34 composed the majority. When they were studied according to their etiologies, falls during daily activities formed 43.9%. When they were analyzed in terms of their gestational weeks, 64.46% were in the 3 rd trimester. Pregnant cases with trauma resulted in maternal (3 cases) and fetal (9 cases) loss. It was found that 19 cases who had imaging techniques involving radiation and whose gestation was continuing had a problem-free gestation period and healthy children. Conclusion:It is mandatory to evaluate both mother and fetus together when trauma exposure is in question, the general well-being of the fetus should be provided and the mother should be informed about the presence of advanced trauma life support. (J Turkish-German Gynecol Assoc 2012; 13: 118-22) Key words: Pregnancy, trauma, emergency department, radiation, etiology Received: 31 January, 2012 Accepted: 23 April, 2012 Amaç: Bu çalışmanın amacı travmaya maruz kalan gebe olguların demografik, klinik özelliklerini, tetkik ve tedavi yöntemlerini incelemek ve literatürü gözden geçirmektir. Gereç ve Yöntemler: Abstract ÖzetOriginal Investigation 118

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Section: Discussionmentioning

confidence: 99%

Pregnancy and trauma: analysis of 139 cases

Karadaş¹,

Gönüllü²,

Öncü³

et al. 2012

J Turkish German Gynecol Assoc

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“…[3] 2000'li yıllarda gebe hastaların hastaneye yatış nedenleri arasında motorlu trafik kazaları ve düşmelerden sonra zehirlenmeler %16.4 ile 3. sı-rada yer almaktayken günümüzde bu oran %31 ile ilk sıraya yükselmiştir. [4,5] Toplumda kadınlar arasında ölümcül olmayan kendine zarar verme davranış tipi olarak en sık zehirlenmeler görülmektedir. [4,6] Ülkemizde gebelik döneminde görülen intihar girişimleriyle ilgili yeterli çalışma bulunmamaktadır.…”

Section: Introductionunclassified

Is there any difference of suicide attempts with drug intoxication in between pregnant and non-pregnant women?

et al. 2012

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SUMMARY Objectives Insufficient data are available comparing medical costs, hospitalization or admission rate, and drugs used for the treatment of pregnant and nonpregnant women admited to the emergency department (ED) due to suicide attempts following drug intoxication. We sought to evaluate these differences in our ED. Methods This is a prospective non-pregnant women (4.3% vs. 26.2%; p=0.019). Comparison of drug intoxication revealed a higher rate of intake of organophosphate (39.1%; vs. 34.8% p<0.001) and paracetamol (39.1% vs. 19.9%; p=0.031), but a lower rate of multidrug ingestion (39.1% vs. 67.8%; p=0.005) ÖZET AmaçÜlkemizde gebelerde intihar girişimiyle ilgili yeterli çalışma yoktur. Çalışmanın amacı acil servisimize intihar amaçlı oral aşırı ilaç alımı ile başvuran gebe hastalar ile aynı yaş grubunda intihar amaçlı oral aşırı ilaç alımı ile başvuran gebe olmayan kadın hastaların yatış oranlarını, zehirlendiği ilaç tiplerini ve maliyet farklarını karşılaştırmaktır. Gereç ve YöntemAtatürk Üniversitesi Tıp Fakültesi Acil servisine oral ilaç alarak intihar teşebbüsü (parasuisid) nedeniyle başvuran kadın hastalar kesitsel ve prospektif olarak incelendi. 2008 ve 2011 yılları arasında acil servise başvuran her iki grubun tedavi planları, tahmini maliyetleri ve hastane yatış oranları ile ilgili verilerini toplayıp karşılaştırdık. BulgularGebe grubunda 23 (%7.4) hasta ve kontrol grubunda 286 (%92.6) olmak üzere toplam 309 hasta çalışmaya alındı. Gebe hastalarda gebe olmayanlara göre daha önceden psikiyatrik hastalık öyküsü olması anlamlı olarak daha düşüktür (%4.3 ve %26.2; p=0.019). Gebe hastalarda gebe olmayanlara göre organofosfat (%34.8 ve %39.1; p<0.001) ve parasetamol (%39.1 ve %19.9; p=0.031) zehirlenmesi daha sık görülmekte iken çoklu ilaç alımına bağlı zehirlenme daha az oranda görülmektedir (%39.1 ve %67.8; p=0.005). Gebe hastaların acil serviste müşahede oranları gebe olmayanlara göre daha düşük olup (%56.5 ve %77.6), dahili servislere (%13 ve %6.3) ve yoğun bakım ünitesine yatış oranları (%13'e karşı %3.1) daha yüksektir (p=0.039). Buna bağlı olarak tedavi maliyetleri de gebe hastalarda daha yüksektir (2553.5±6206.7 TL ve 581.3±490.3 TL; p<0.001). SonuçGebe olmayan bayan hastalarla karşılaştırıldığında gebelerde ilaç ile intihar teşebbüsü daha nadir görülmesine rağmen, yüksek hospitalizasyon oranları ve yüksek maliyet nedeniyle daha yüksek öneme sahiptir. Bu nedenle girişim öncesi dönemde gebe hasta grubunun intihar riskini belirlemek için acil olarak özel tarama programlarına ihtiyaç vardır.

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“…6 There is evidence from a statewide injury inpatient study that the hospitalized crash injury rate of pregnancy associated cases is not lower compared to that of all women of reproductive age (even after length of stay adjustment). 4 The data also lack patient follow up with the result that little is known or tracked about non-fatal fetal crash outcomes. Motor vehicle crashes are probably a larger threat to fetuses then to infants due to increased crash involvement (as shown in this study), increased vulnerability due to dependence on placental circulation for survival, vulnerability to sensitive developmental periods of risk, and perhaps comparatively less protection from the in utero environment than infants receive from safety seats.…”

Section: Discussionmentioning

confidence: 99%

“…otor vehicle crashes are the leading cause of traumatic fetal injury mortality, 1 and the leading cause of death 2 3 and serious trauma 4 during pregnancy. Maternal injury may put the fetus at great risk, yet little is known from population based studies about the characteristics and risks of pregnant women involved in motor vehicle crashes.…”

mentioning

confidence: 99%

Characteristics of pregnant women in motor vehicle crashes

Weiss

Strotmeyer²

2002

Inj Prev

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Objectives: Motor vehicle crashes are the leading cause of hospitalized trauma during pregnancy. Maternal injury puts the fetus at great risk, yet little is known about the incidence, risks, and characteristics of pregnant women in crashes. Setting and methods: Police reported crashes were analyzed from the National Automotive Sampling System Crashworthiness Data System. Since 1995, this system recorded pregnancy/trimester status. Pregnant and non-pregnant women 15-39 years of age were compared by age, driver status, seat belt use, and treatment. Belt use and seating position were examined by trimester. Results: There were 427 pregnant occupants identified (weighted n=32 810, 2.6%, SE 12 585, rate 13/1000 person years). The mean age was 24.9 compared with 24.8 years (pregnant v non-pregnant). Cases were distributed by trimester as follows: first 29.8%, second 36.4%, and third 33.8%. Pregnant women were drivers 70% of the time compared with 71% for non-pregnant women. No belt use was 14% compared with 13% (pregnant v non-pregnant). Mean injury severity was lower for pregnant women but they were more likely to transported or hospitalized. Improper belt use decreased after the first trimester and there was little change in driver proportion by trimester. Third trimester hospitalization rates increased. Conclusions: Pregnant occupants in crashes have similar profiles of restraint use, driver status, and seat position but different treatment indicators compared to non-pregnant occupants. Trimester status has relatively little impact on crash risk, seating position or restraint use. Undercounting of pregnant cases was possible, even so, 1% of all births were reported to be involved in utero in crashes. Little research has focused on developmental outcomes to infants and children previously involved in exposure to these crashes.

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Pregnancy-Associated Injury Hospitalizations in Pennsylvania, 1995

Cited by 93 publications

References 24 publications

Pregnancy and trauma: analysis of 139 cases

Pregnancy and trauma: analysis of 139 cases

Is there any difference of suicide attempts with drug intoxication in between pregnant and non-pregnant women?

Characteristics of pregnant women in motor vehicle crashes

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