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Trauma In Pregnancy

Year 2014, Issue: 2, 102 - 105, 01.06.2014

Abstract

The trauma experienced during the pregnancy period causes injuries or fetal or maternal death depending on its intensity. The most common causes of trauma include especially motor vehicles injuries related to not fastening the seat belt, assault, falling, burns, domestic violence, adolescent motherhood

References

  • Huzel S P, Remsburg A E. Fetal complications related to minor maternal trauma. Journal J Obstet Gynecol Neonatal Nurs 2006;25(2):121-124.
  • El Kady D, Gilbert WM, Xing G, et al. Association of maternal fractures with adverse perinatal outcomes. Am J Obstet Gynecol 2006;195(3):711–6.
  • Rudloff U. Trauma in pregnancy. Arch Gynecology Obstetrics. 2007; 276:101–117
  • Cahill AG, Bastek JA, Stamilio DM, Odibo AO, Steven E, Macones GA. Minor Trauma in Pregnancy- Is The Evulation Unwarranted? Am J Obstet Gynecol, 2008;198(2):208
  • Ruffolo D C. Trauma Care and Managing the Injured Pregnant Patient. J Obstet Gynecol Neonatal Nurs 2009;38 (6):704–714.
  • Al B, Baştürk M, Tekbaş G, Evsen M, Sarıçiçek V, Yücel Y, Zenginol M. Trauma Management in Pregnancy. Acad Emerg Med 2010;2:93-102
  • Cusick S S., Tibbles C. Trauma in Pregnancy. Emerg Med Clin North Am 2007; 25: 861–872.
  • Mattox K L. Goetzl L. Trauma in pregnancy. Crit Care Med 2005; (33)10: 358-389.
  • Oxford C M, Ludmir J. Trauma in pregnancy, Clin Obstet Gynecol 2009;52(4): 611–629.
  • Leona J M., Lane S D, Koumans E H, Demott K, et al. Effects of Intimate Partner Violence on Pragnancy Trauma and Placental Abruption. J Womens Health 2010;19(8):1501-1509.
  • Gates DM, Gillespie GL. Secondary Traumatic stress in nurses who care for traumatized women. J Obstet Gynecol Neonatal Nurs 2008;37(2):243-249.
  • Güler N. Physical, Emotional, Sexual, and Economic Violence by Spouse During Pregnancy and Associated Factors Background. DEUHYO ED 2010;3(2):72-77.
  • Harner MH. Domestic Violence and Trauma Care In Teenage Pregnancy: Does Paternal Age Make A Difference? J Obstet Gynecol Neonatal Nurs 2004; 33(3):312-319.
  • Tweddale CJ. Trauma During Pregnancy. Critical Care Nursing Quarterly. Lippincott Williams & Wilkins, Inc, 2006;29(1):53–67.
  • Kolusarı A, Şahin H, Sürücü R, Kamacı M. Traumatic Maternal Pelvic Fracture and Fetal Intracranial Hemorrhage: Case Report, Van Tıp Dergisi,2008;15(4):114-115.
  • Leggon RE, Wood GC, Indeck MC. Pelvic fractures in pregnancy: factors influencing maternal and fetal outcomes. J Trauma 2002;53:796–804.
  • Muench MV. Canterino J C., MD. Trauma in Pregnancy. Obstet Gynecol Clin North Am 2007;34: 555–583
  • Chang J, Berg CJ, Saltzman LE et al. Homicide: a leading cause of injury deaths among pregnant and postpartum women in the United States, 1991–1999. Am J Public Health 2005;95:471–477.
  • Sisley A C, Chiu WC. Trauma in Pregnancy. Current Therapy of Trauma and Surgical Critical Care. First Edition. 2003, pp.559-564.
  • Werman H A. Falcone R E., Hanlon D. Trauma Reports. AHC Media,2008;9(4):1-10.
  • Uygur F, Öksüz S, Sever C, Alagöz Ş. Burn Injury in Pregnancy: Review. Turkiye Klinikleri J Gynecol Obst, 2009;19(1):38-41
  • Brown HL. Trauma in Pregnancy. ACOG 2009;114(1):147-160.
  • Chames MC, Mark D. Pearlman Trauma During Pregnancy: Outcomes and Clinical Management. Clin Obstet Gynecol 2008;51( 2): 398–408.
  • Acil Obstetrik Bakım Yönetim Rehberi. T.C. Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü. Damla Matbaacılık, Reklamcılık ve Yayıncılık Tic. Ltd. Şti. 2009;Ankara.
  • Harris MB, Sethi RK. The initial assessment and management of the multiple-trauma patient with an associated spine injury. Spine (Phila Pa).2006;31(11):9–15.
  • Williams SC. Managing Trauma In Pregnancy. Physician Assistant 2002;26(1):15-24.
  • Criddle LM. Trauma in Pregnancy. Am J Nurs 2009;109(11):41-7.
  • Michael WW, Stuart GS, Sudhakar R, Everett FM, Jonh CH. Management of Trauma During Pregnancy. ANZ J Surg 2004;74:125-128.

Gebelikte Travma

Year 2014, Issue: 2, 102 - 105, 01.06.2014

Abstract

Gebelikte görülen travma, şiddetine göre maternal ve fetal ölümlere ve sakatlanmalara neden olmaktadır. En sık karşılaşılan travma nedenleri arasında özellikle emniyet kemerinin takılmadığı motorlu araç yaralanmaları, saldırı, düşmeler, yanıklar, aile içi şiddet, genç yaşta annelik < 25 yaş , madde kullanımı ve düşük sosyo-ekonomik durum yer almaktadır. Travma sonrası oluşan plasenta dekomanı , fetal yaralanma, erken doğum ve erken membran rüptürü, plasental laserasyon, maternal şok, uterus rüptürü ve DIC fetal ölümlere neden olmaktadır. Acilde veya travma merkezinde gebeyi karşılayan ekip içerisinde Acil Hekimi, Travma Cerrahı, Kadın Hastalıkları ve Doğum Hekimi, Yenidoğan Uzmanı, Radyolog ile Yenidoğan ve Doğum Hemşiresi bulunmalıdır. Travma sonrası birincil bakımda gebenin hava yolu açıklığı, solunum ve kanamanın kontrolü sağlanmalı, kan kaybı yerine konmalı ve hayati belirtiler düzenlenmelidir. İkincil olarak ise ayrıntılı fizik değerlendirme, laboratuar testleri, görüntüleme testleri ve tıbbı tedavi yapılmalıdır.

References

  • Huzel S P, Remsburg A E. Fetal complications related to minor maternal trauma. Journal J Obstet Gynecol Neonatal Nurs 2006;25(2):121-124.
  • El Kady D, Gilbert WM, Xing G, et al. Association of maternal fractures with adverse perinatal outcomes. Am J Obstet Gynecol 2006;195(3):711–6.
  • Rudloff U. Trauma in pregnancy. Arch Gynecology Obstetrics. 2007; 276:101–117
  • Cahill AG, Bastek JA, Stamilio DM, Odibo AO, Steven E, Macones GA. Minor Trauma in Pregnancy- Is The Evulation Unwarranted? Am J Obstet Gynecol, 2008;198(2):208
  • Ruffolo D C. Trauma Care and Managing the Injured Pregnant Patient. J Obstet Gynecol Neonatal Nurs 2009;38 (6):704–714.
  • Al B, Baştürk M, Tekbaş G, Evsen M, Sarıçiçek V, Yücel Y, Zenginol M. Trauma Management in Pregnancy. Acad Emerg Med 2010;2:93-102
  • Cusick S S., Tibbles C. Trauma in Pregnancy. Emerg Med Clin North Am 2007; 25: 861–872.
  • Mattox K L. Goetzl L. Trauma in pregnancy. Crit Care Med 2005; (33)10: 358-389.
  • Oxford C M, Ludmir J. Trauma in pregnancy, Clin Obstet Gynecol 2009;52(4): 611–629.
  • Leona J M., Lane S D, Koumans E H, Demott K, et al. Effects of Intimate Partner Violence on Pragnancy Trauma and Placental Abruption. J Womens Health 2010;19(8):1501-1509.
  • Gates DM, Gillespie GL. Secondary Traumatic stress in nurses who care for traumatized women. J Obstet Gynecol Neonatal Nurs 2008;37(2):243-249.
  • Güler N. Physical, Emotional, Sexual, and Economic Violence by Spouse During Pregnancy and Associated Factors Background. DEUHYO ED 2010;3(2):72-77.
  • Harner MH. Domestic Violence and Trauma Care In Teenage Pregnancy: Does Paternal Age Make A Difference? J Obstet Gynecol Neonatal Nurs 2004; 33(3):312-319.
  • Tweddale CJ. Trauma During Pregnancy. Critical Care Nursing Quarterly. Lippincott Williams & Wilkins, Inc, 2006;29(1):53–67.
  • Kolusarı A, Şahin H, Sürücü R, Kamacı M. Traumatic Maternal Pelvic Fracture and Fetal Intracranial Hemorrhage: Case Report, Van Tıp Dergisi,2008;15(4):114-115.
  • Leggon RE, Wood GC, Indeck MC. Pelvic fractures in pregnancy: factors influencing maternal and fetal outcomes. J Trauma 2002;53:796–804.
  • Muench MV. Canterino J C., MD. Trauma in Pregnancy. Obstet Gynecol Clin North Am 2007;34: 555–583
  • Chang J, Berg CJ, Saltzman LE et al. Homicide: a leading cause of injury deaths among pregnant and postpartum women in the United States, 1991–1999. Am J Public Health 2005;95:471–477.
  • Sisley A C, Chiu WC. Trauma in Pregnancy. Current Therapy of Trauma and Surgical Critical Care. First Edition. 2003, pp.559-564.
  • Werman H A. Falcone R E., Hanlon D. Trauma Reports. AHC Media,2008;9(4):1-10.
  • Uygur F, Öksüz S, Sever C, Alagöz Ş. Burn Injury in Pregnancy: Review. Turkiye Klinikleri J Gynecol Obst, 2009;19(1):38-41
  • Brown HL. Trauma in Pregnancy. ACOG 2009;114(1):147-160.
  • Chames MC, Mark D. Pearlman Trauma During Pregnancy: Outcomes and Clinical Management. Clin Obstet Gynecol 2008;51( 2): 398–408.
  • Acil Obstetrik Bakım Yönetim Rehberi. T.C. Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü. Damla Matbaacılık, Reklamcılık ve Yayıncılık Tic. Ltd. Şti. 2009;Ankara.
  • Harris MB, Sethi RK. The initial assessment and management of the multiple-trauma patient with an associated spine injury. Spine (Phila Pa).2006;31(11):9–15.
  • Williams SC. Managing Trauma In Pregnancy. Physician Assistant 2002;26(1):15-24.
  • Criddle LM. Trauma in Pregnancy. Am J Nurs 2009;109(11):41-7.
  • Michael WW, Stuart GS, Sudhakar R, Everett FM, Jonh CH. Management of Trauma During Pregnancy. ANZ J Surg 2004;74:125-128.
There are 28 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Derya Kaya

Ümran Oskay

Publication Date June 1, 2014
Published in Issue Year 2014Issue: 2

Cite

EndNote Kaya D, Oskay Ü (June 1, 2014) Gebelikte Travma. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2 102–105.