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Burns in pregnancy
1University of Tennessee at Memphis, USA.
Obstetrical & Gynecological Survey
|January 24, 1998
Summary
Aggressive management of thermal injuries in pregnancy is crucial. Maternal survival often ensures fetal survival, with term infant delivery likely if the mother recovers without complications.
Area of Science:
- Obstetrics and Gynecology
- Trauma Surgery
- Perinatal Medicine
Background:
- Thermal injuries during pregnancy present unique challenges for maternal and fetal well-being.
- Effective management strategies are essential to optimize outcomes in these complex cases.
Purpose of the Study:
- To evaluate the classification, complications, and treatment of thermal injuries in pregnant patients.
- To review current literature on managing thermal injuries in pregnancy.
Main Methods:
- A comprehensive literature search of the MEDLINE database was conducted for English-language papers published after 1980.
- Additional relevant sources were identified through cross-referencing existing literature.
Main Results:
- Serious thermal injury in pregnancy is infrequent.
- Maternal and perinatal mortality significantly increases with burns exceeding 50% of total body surface area.
- Pregnancy does not appear to negatively impact maternal outcomes; maternal survival frequently leads to fetal survival.
Conclusions:
- Prompt and aggressive management of thermal injuries is vital for both mother and fetus.
- Individualized obstetrical management is recommended.
- Successful maternal recovery from thermal injury, without evidence of fetal distress or labor within the first week postburn, generally allows for the delivery of a term infant.