Title

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

Disciplines

Medicine and Health Sciences

PubMedID

10555646

Department(s)

Department of Surgery

Document Type

Article

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