Thermal injury in pregnancy: predicting maternal and fetal outcome

Agarwal, Pooja

doi:10.4103/0970-0358.19774

Cited by 15 publications

(14 citation statements)

References 17 publications

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“…Maghsoudi et al [2] found that maternal and fetal mortality rates were related to inhalation injuries. In another study, the main predictor of survival for pregnant women was the percentage of TBSA burned [16]. The fetal death rate of 56.6% in our study was higher than in previous studies [2,8,10,19].…”

Section: Discussioncontrasting

confidence: 82%

“…In our series, maternal mortality was 28%, less than in other studies conducted in Iran [2,7], and reports from other countries vary [6,8,10,[16][17][18]. Maternal and fetal death in our study was significantly affected by maternal age, percentage of TBSA burned, presence of inhalation injury, and intentional burning, but not by trimester of pregnancy, year of admission, or cause of burn.…”

Section: Discussioncontrasting

confidence: 78%

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Burn injuries during pregnancy in Iran

Karimi

Momeni

et al. 2008

Intl J Gynecology & Obste

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Section: Discussioncontrasting

confidence: 82%

Section: Discussioncontrasting

confidence: 78%

Burn injuries during pregnancy in Iran

Karimi

Momeni

et al. 2008

Intl J Gynecology & Obste

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“…Although rare, an extensive burn during pregnancy is a serious complication. In the study done by Agrawal et al 11 reported 12.29% of all women of reproductive age admitted with burns were pregnant. Because pregnancy tests were not done routinely the true incidence of pregnancy associated with burn injuries, especially in the first trimester, remains unknown.…”

Section: Discussionmentioning

confidence: 96%

An Insight to Burn Related Maternal Morbidity and Mortality in Pregnancy

Rijal

Rana

Chalise

2015

Nepal j. obstet. gynaecol.

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Aims:The aim of this study is to study morbidity and mortality of burn cases during pregnancy and postpartum period.Methods: This is a retrospective study conducted at Tribhuvan University Teaching Hospital from April 1998 to July 2014. The data were retrieved from the records in burn ward, intensive care unit and emergency unit. Pregnant women with burn were studied for the nature, degree and the percentage of burn in relation to pregnancy outcome and mortality.Results: There were 32 cases of burn patients with pregnancy. The most common source of burn was kerosene-induced flame (23) followed by domestic firewood (7), boiling water (1) and lightening (1).There were 25 cases of accidental burn and seven were suicidal burn. The age of the patients was ≤19 years in 7, 20-24 in 13, 25-29 in 6 and 30-34 in 6 patients. Except for two cases of postpartum burn , all the others occurred during pregnancy between 6-40 gestational week{<12weeks =5, 13-27 weeks =10, 28-36 weeks=4, 37-42 weeks =6 and unknown =7}. There was only one cesarean and three vaginal births and most resulting in stillbirth owing to higher percentage of burn above second degrees. The percentage of burn was <30% in 13, 30-39% in 3, 40-59 % in 6, 60-69% in 5 and 70-90% in 2 patients. There were nine mortality (28.1%) in women above 30% burn. Conclusions:The most common cause of burn in pregnancy was flame burn. Pregnant women need to be cautioned against flame burn and avoid using kerosene cooking stove to prevent themselves from burn, genuinely necessary steps to be propagated by all healthcare providers and also at the same time counseling against suicide to be done.

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“…Fetal survival is dependent upon gestational age and maternal survival. 12 Mortality for both mother and fetus increases significantly if the burn is more than 50% of the TBSA. 13 In general, pregnancy does not negatively affect maternal outcomes following a minor burn injury.…”

Section: Maternal and Fetal Outcomesmentioning

confidence: 99%

Burn Injuries and Pregnancy

Kennedy

Baird

Troiano

2008

Journal of Perinatal &Amp; Neonatal Nursing

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Although burn injuries during pregnancy are considered relatively rare, the exact incidence is not known. Multiple factors influence morbidity and mortality resulting from burn injuries during pregnancy. These factors include the depth and size of the burn, the woman's underlying health and age, and the estimated gestational age of the fetus. Associated inhalation injury and development of other significant secondary complications also influence maternal and fetal outcomes. Successful burn care requires a team approach in which almost every healthcare discipline is represented. Initial care is almost always provided by a specially trained emergency medical team in an out-of-hospital setting. During this phase, the ability of the team to communicate with emergency hospital personnel facilitates appropriate clinical management at the scene. In addition, continued communication regarding the woman's status and responses to treatment allows critical care specialists within the hospital to ensure that necessary personnel and resources are available when the patient arrives. From the time the pregnant woman is admitted to a hospital for additional acute and critical care through the extensive process of rehabilitation from burn injuries, providing care often evokes strong emotions and requires specialized skills to achieve the most positive outcomes.

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Thermal injury in pregnancy: predicting maternal and fetal outcome

Cited by 15 publications

References 17 publications

Burn injuries during pregnancy in Iran

Burn injuries during pregnancy in Iran

An Insight to Burn Related Maternal Morbidity and Mortality in Pregnancy

Burn Injuries and Pregnancy

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