Maternal death in the emergency department from trauma

Purpose Trauma during pregnancy is among leading causes of non-pregnancy-related maternal death (MD). This study describes risk factors for MD from trauma during pregnancy in a large urban population. Methods We queried an urban Level One Trauma Center registry for the medical records of pregnant wo...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2013-09, Vol.288 (3), p.507-512
Main Authors: Brookfield, Kathleen F., Gonzalez-Quintero, Victor H., Davis, James S., Schulman, Carl I.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Case-Control Studies
Cause of Death
Emergency medical care
Endocrinology
Female
Florida - epidemiology
Gynecology
Human Genetics
Humans
Maternal Death - etiology
Maternal Death - statistics & numerical data
Maternal mortality
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Pregnancy
Registries
Risk Factors
Trauma
Trauma Centers - statistics & numerical data
Urban Population
Young Adult
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Summary:Purpose Trauma during pregnancy is among leading causes of non-pregnancy-related maternal death (MD). This study describes risk factors for MD from trauma during pregnancy in a large urban population. Methods We queried an urban Level One Trauma Center registry for the medical records of pregnant women suffering trauma from 1990 to 2007. Associations were examined between maternal demographics, injury mode details, injury characteristics, and risk of maternal death upon arrival to the emergency room. Results Overall, 351 patients were identified. Most traumas was caused by motor vehicle collision (71.8 %), accounting for 78.9 % of MD, followed by gun shot wound (10.3 %), stabbing (8.5 %), falls (4.3 %), and assaults (4 %). Abdominal and head injuries were more frequent in cases of MD compared with patients admitted to the hospital (33.3 vs. 25.1 % abdominal, 55.6 vs. 29.4 % head; p  
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-013-2772-5