A multi-institutional study of factors associated with fetal death in injured pregnant patients.
Publication/Presentation Date
11-1-1999
Abstract
HYPOTHESIS: Factors associated with fetal death in injured pregnant patients are related to increasing injury severity and abnormal maternal physiologic profile.
DESIGN: A multi-institutional retrospective study of 13 level I and level II trauma centers from 1992 to 1996.
MAIN OUTCOME MEASURE: Fetal survival.
RESULTS: Of 27,715 female admissions, there were 372 injured pregnant patients (1.3%); 84% had blunt injuries and 16% had penetrating injuries. There were 14 maternal deaths (3.8%) and 35 fetal deaths (9.4%). The population suffering fetal death had higher injury severity scores (P
CONCLUSIONS: Fetal death was more likely with greater severity of injury. Cardiotrophic monitoring is underused in injured pregnant patients in their third trimester even after admission to major trauma centers. Increased use of cardiotrophic monitoring may decrease the mortality caused by placental abruption.
Volume
134
Issue
11
First Page
1274
Last Page
1277
ISSN
0004-0010
Published In/Presented At
Rogers, F. B., Rozycki, G. S., Osler, T. M., Shackford, S. R., Jalbert, J., Kirton, O., Scalea, T., Morris, J., Ross, S., Cipolle, M., Fildes, J., Cogbill, T., Bergstein, J., Clark, D., Frankel, H., Bell, R., Gens, D., Cullinane, D., Kauder, D., & Bynoe, R. P. (1999). A multi-institutional study of factors associated with fetal death in injured pregnant patients. Archives of surgery (Chicago, Ill. : 1960), 134(11), 1274–1277. https://doi.org/10.1001/archsurg.134.11.1274
Disciplines
Medicine and Health Sciences
PubMedID
10555646
Department(s)
Department of Surgery
Document Type
Article