Trauma in Pregnancy

            
             Burns during pregnancy are rare, with fetal demise having a significantly less occurrence. A large factor associated in the outcome of the patient and the pregnancy is the amount of total body surface area (TBSA), type and degree of burns, the total gestation period at the time of the occurrence. The below table is from the research of Thirty-one pregnant women admitted to the Burns Unit based at Aljala Hospital in Benghazi (Libya) with thermal injuries (mostly domestic accidents) over a ten-year period (1992-2001) were studied retrospectively. (http://www.medbc.com/meditline/articles/vol_5/num_1/010/text/vol5n1p010.asp) Showing that the pregnancy outcome was significantly worst are those woman suffering from inhalation burns.
             No. Age (yr) Cause associated factors TBSA (%) Gestation trimester Patient outcome Pregnancy outcome .
             1 45 Hot water DM + HT 6 Third Uneventful VD NHB .
             2 29 Gas explosion 8 Third Uneventful VD NHB .
             3 36 Hot oil 10 Third Skin graft VD NHB .
             4 32 Hot water 13 Third Skin graft VD NHB .
             5 25 Gas explosion 13 Third Skin graft VD NHB .
             6 39 Hot water 15 Third Skin graft CS NHB .
             7 32 Gas explosion 15 Second Skin graft VD NHB .
             8 27 Gas Explosion 15 First Skin graft Abortion .
             TBSA: Total burned surface area; DM: Diabetes mellitus; HT: Hypertension;NHB: Normal healthy baby; VD: Vaginal delivery; CS: Caesarean section .
             Table I - Findings and overall outcome of cases with minor injuries.
             No. Age (yr) Cause associated factors TBSA (%) Gestation trimester Patient outcome Pregnancy outcome .
             1 29 Hot water 17 Third Uneventful VD NHB .
             2 34 Gas explosion 18 Third Uneventful VD NHB .
             3 42 Gas explosion 18 Third Skin graft CS NHB .
             4 36 Gas explosion 20 Third Skin graft VD NHB .
             5 24 Gas explosion 20 First Skin. graft Abortion .
             6 28 Gas explosion 20 First Skin graft Abortion .
             7 32 Hot soup Epileptic 22 Second Skin graft PND .