Predictors of fetal demise after trauma in pregnant Saudi Arabian women

Mulhim, Al; Balaha, Magdy Hassan; Tudiver, Fred

doi:10.26719/2012.18.5.439

Cited by 9 publications

(1 citation statement)

References 14 publications

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“…7 Al Mulhim et al defined the three most important predictors of poor fetal outcomes or demise as traumas occurring in the second trimester of pregnancy, placental abruption, and a high maternal injury severity score (ISS). 8 Theodorou et al further defined a high ISS as a score of >9 and found it to be a predictor of poor fetal outcome. 9 This study also found that pregnancy of fewer than 23 weeks in conjunction with ISS of >9 increased fetal mortality by 5-fold.…”

Section: Introductionmentioning

confidence: 99%

Obstetrical Trauma: Reducing the Burden of Trauma Transfer to Tertiary Care Centers

Kirk

Ciraulo

et al. 2023

The American Surgeon™

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Background In rural state trauma systems, management of the obstetrical trauma patient often defaults to transfer to level I trauma centers. We evaluate the necessity of transferring obstetrical trauma patients without severe maternal injury. Materials and Methods A retrospective 5-year review of obstetrical trauma patients admitted to a rural state-level I trauma center was conducted. Injury severity measures such as abdominal AIS, ISS, and GCS were correlated with outcomes. Furthermore, the impact of maternal and gestational age on uterine compromise, uterine irritability, and the need for cesarean section intervention are presented. Results Twenty-one percent of patients were transferred from outside facilities with a median age of 29 years, average ISS of 3.9 ± 5.6, GCS of 13.8 ± 3.6, and abdominal AIS of 1.6 ± .8. Outcomes included maternal fatality of 2%, fetal demise of 4%, 6% experienced premature rupture of membranes, 9% experienced fetal placental compromise, 15% had uterine contractions, 15% of cesarean deliveries, and fetal decelerations occurred in 4%. Predictors of fetal compromise are strongly associated with high maternal ISS and low GCS. Discussion The frequency of traumatic injury in this unique population of patients is fortunately limited. The best predictor for fetal demise and uterine irritability is maternal injury severity, measured by ISS and GCS. Therefore, without severe maternal trauma, obstetrical trauma patients with minor injuries can safely be managed at non-tertiary care facilities with obstetrical capabilities.

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Section: Introductionmentioning

confidence: 99%

Obstetrical Trauma: Reducing the Burden of Trauma Transfer to Tertiary Care Centers

Kirk

Ciraulo

et al. 2023

The American Surgeon™

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Abdominal Trauma

Augustin¹

2014

Acute Abdomen During Pregnancy

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Postpartum Depression Among Immigrant and Arabic Women: Literature Review

Alhasanat

Fry-McComish

2015

J Immigrant Minority Health

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Postpartum depression (PPD) is a major disabling mood disorder that affects women during childbearing years. The purpose of this literature review is to identify the prevalence and risk factors for PPD among immigrant women in industrialized countries and compare it with prevalence and risk factors for PPD among Arab women in their home countries. 26 studies, published between 1995 and 2013 have been included. In this review, prevalence of PPD among Arab women in their countries ranged 10-37%, and the prevalence of PPD among immigrant women in industrialized countries ranged 11.2-60%. Lack of social support, stressful life events, low income, and intimate partner violence were risk factors associated with development of PPD among both Arab women and immigrant women. Immigration stress and lack of access to health care services were found among immigrant women. Lack of social support was more predominant in studies on immigrant women.

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Predictors of fetal demise after trauma in pregnant Saudi Arabian women

Cited by 9 publications

References 14 publications

Obstetrical Trauma: Reducing the Burden of Trauma Transfer to Tertiary Care Centers

Obstetrical Trauma: Reducing the Burden of Trauma Transfer to Tertiary Care Centers

Abdominal Trauma

Postpartum Depression Among Immigrant and Arabic Women: Literature Review

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