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Does minor trauma in pregnancy affect perinatal outcome?
Gali Garmi1, Mary Marjieh, Raed Salim
1Department of Obstetrics and Gynecology, Emek Medical Center, 18101, Afula, Israel.
Archives of Gynecology and Obstetrics
|May 7, 2014
Summary
Pregnant women experiencing minor trauma generally have favorable outcomes. Initial assessments at admission did not predict adverse events, suggesting prolonged observation may be unnecessary.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Trauma in Pregnancy
Background:
- Minor trauma in pregnancy can cause maternal and fetal distress.
- Assessing risk factors for adverse pregnancy outcomes after trauma is crucial.
Purpose of the Study:
- To investigate pregnancy outcomes following minor trauma.
- To identify admission risk factors predicting adverse pregnancy outcomes.
Main Methods:
- Retrospective study (2005-2011) of pregnant women (≥23 weeks) admitted for minor trauma.
- Standardized protocol: examination, labs, 1-hour fetal heart rate monitoring (FHRM) and tocometry.
- 24-hour observation; composite adverse outcome defined as placental abruption, preterm birth, or low birthweight (<2,500g).
Main Results:
- 512 minor trauma cases and 1,024 controls analyzed.
- Composite adverse outcome occurred in 9.4% of trauma cases vs. 12.9% of controls (p=0.04).
- No admission parameters predicted the composite adverse outcome.
Conclusions:
- Minor trauma in pregnancy is associated with favorable outcomes.
- Admission parameters were not predictive of adverse outcomes.
- Extensive evaluation and 24-hour observation may be unnecessary after minor trauma, especially for asymptomatic women.
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