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Burns in pregnancy.

Hemmat Maghsoudi1, Roya Samnia, Abasad Garadaghi

  • 1Department of Surgery, Faculty of Medicine, University of Medical Sciences of Tabriz, Iran. maghsoudih@yahoo.com

Burns : Journal of the International Society for Burn Injuries
|February 2, 2006
PubMed
Summary

Burns in pregnant women, particularly self-inflicted ones, lead to high maternal and fetal mortality. Large burn size and inhalation injuries are the strongest predictors of death in these cases.

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Area of Science:

  • Medical Research
  • Burn Injury
  • Obstetrics

Background:

  • Burns during pregnancy pose significant risks to both mother and fetus.
  • Understanding the causes and outcomes of burns in pregnant women is crucial for improving care.

Purpose of the Study:

  • To investigate the etiology and outcomes of burns in pregnant women.
  • To identify risk factors for maternal and fetal mortality in this population.

Main Methods:

  • A 9-year prospective study at Sina hospital burn center.
  • Inclusion of 51 pregnant patients, analyzing data on burn size, cause, inhalation injury, and mortality.
  • Stratification by age, burn size, inhalation injury, trimester, and burn cause.

Main Results:

  • Kerosene ignition was the most common burn cause (68.6%).
  • Maternal and fetal mortality rates were high, especially in self-inflicted burns.
  • Burn size exceeding 40% body surface area resulted in 100% mortality for both mother and fetus.
  • Large burn size and inhalation injuries were the strongest predictors of mortality.

Conclusions:

  • Self-inflicted burns and large burn surface areas significantly increase maternal and fetal mortality.
  • Inhalation injuries are strongly associated with severe burns and mortality.
  • Prompt and effective management of burns in pregnant women is critical to improve outcomes.

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