ArticleBMC emergency medicine2025
Analysis of traumatic pregnant patients admitted to the emergency department: a retrospective study.
Article in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTo investigate the characteristics of patients consulted from the emergency department to the gynecology and obstetrics clinic, the traumas seen in pregnant women, and the effect of the COVID-19 pandemic on the number of admissions to the clinic.
methodsThis study was conducted in the adult emergency clinic of a secondary health care institution, through a retrospective analysis of patients who were referred for consultation to the gynecology and obstetrics clinic between 01.01.2019 and 31.12.2023. Among the patients, pregnant patients who admitted due to trauma were also analyzed separately.
results437 patients were evaluated within the scope of the study. The overall meanage of the patients was 29.39 ± 12.72 years. 158 (36.2%) of the patients were pregnant and 77 (48.7%) admitted due to trauma. The most common presenting complaints in all patients were abdominal pain (57.2%), assault (8.5%) and vaginal bleeding (8%). In pregnant women who admitted due to trauma, the most common reasons for consultation were assault (46.7%), falls (24.7%) and traffic accidents (22.1%). The mean gestationalage of pregnant women admitted due to trauma was 22.83 ± 10.23 weeks. It was observed that 77.7% of the pregnant women who were beaten were due to domestic violence. The most common diagnosis was soft tissue trauma (58.4%). Trauma-related admissions were most common in the third trimester (44.2%). There was a significant decrease in the number of patients admitted during the COVID-19 pandemic. There were no maternalor fetal deaths in the in-hospital evaluation within the study.
conclusionsTraumas seen during pregnancy are an important factor causing disability and death for the mother and the baby. Therefore, detailed examination, obstetric evaluation and close follow-up are necessary in pregnant patients who have experienced trauma. CLINICAL TRIAL NUMBER: Not applicable.
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