Document Detail


Factors influencing pregnancy outcome after trauma.
MedLine Citation:
PMID:  1524327     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Trauma complicating pregnancy represents a significant threat to maternal survival and successful pregnancy outcome. Combining trauma center and perinatal center capabilities may provide improved outcome for pregnant trauma victims. The authors report their experience with 39 patients over a 10-year period to identify factors that influenced pregnancy outcome. There was 100 per cent maternal survival with a 77 per cent successful pregnancy rate. Unsuccessful pregnancy was associated with significantly higher injury severity score (ISS); regional abdominal abbreviated injury scores (AIS) and hospital charges; longer hospital and intensive care unit lengths of stay; a higher incidence of intubation and placenta abruptio; and a lower admission systolic blood pressure. Fetal ultrasound or Doppler were routinely used and contributed to trauma management. These findings support close cooperation and coordination of trauma and perinatal services to achieve optimal maternal and pregnancy outcomes.
Authors:
E R George; T Vanderkwaak; D J Scholten
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American surgeon     Volume:  58     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1992-10-15     Completed Date:  1992-10-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  594-8; discussion 598     Citation Subset:  IM    
Affiliation:
Department of Surgery, Michigan State University, Grand Rapids.
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MeSH Terms
Descriptor/Qualifier:
Abbreviated Injury Scale
Evaluation Studies as Topic
Female
Health Services Research
Humans
Injury Severity Score
Interinstitutional Relations*
Length of Stay / statistics & numerical data
Maternal Mortality
Michigan / epidemiology
Multiple Trauma / diagnosis,  epidemiology*,  therapy
Outcome Assessment (Health Care)
Perinatology / organization & administration*
Pregnancy
Pregnancy Complications / diagnosis,  epidemiology*,  therapy
Pregnancy Outcome*
Registries
Risk Factors
Trauma Centers / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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