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Major burns in pregnancy

C J Chang1, J Y Yang

  • 1Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.

Changgeng Yi Xue Za Zhi
|June 1, 1996
PubMed
Summary
This summary is machine-generated.

Pregnant patients with severe burns (>10% TBSA) received active medical treatment and conservative wound care. This approach supported successful term deliveries in most cases, highlighting its efficacy across all pregnancy trimesters.

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Area of Science:

  • Burn treatment
  • Obstetrics
  • Trauma care

Background:

  • Burns during pregnancy pose significant risks to both mother and fetus.
  • Optimal management strategies for pregnant burn patients require careful consideration.

Purpose of the Study:

  • To evaluate the outcomes of pregnant patients with severe burns treated at a specialized burn unit.
  • To assess the safety and efficacy of active medical treatment and conservative wound care during pregnancy.

Main Methods:

  • Retrospective review of seven pregnant patients with burns exceeding 10% total body surface area (TBSA).
  • Analysis of patient demographics, burn severity, gestational age, treatment protocols, and delivery outcomes.
  • Inclusion of patients treated between June 1986 and May 1991.

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Main Results:

  • Five out of seven patients delivered at term with normal outcomes.
  • One patient experienced intrauterine fetal death 7 weeks post-burn.
  • One patient had premature labor at 33 weeks gestation.

Conclusions:

  • Active medical treatment combined with conservative wound care is effective for pregnant burn patients.
  • Pregnancy termination was not necessary in this series.
  • This management approach should be the standard of care across all trimesters of pregnancy.