Abstract
Objective: To study the epidemiological, clinical, therapeutic and prognostic aspects of trauma in pregnancy at the Yalgado Ouedraogo teaching hospital in Ouagadougou. Patients and Methods: A descriptive retrospective study was done over a period of three years from 1st January 2010 to 31st December 2012. We included in our sample, all pregnant women admitted for trauma in pregnancy and eligible in three clinics: obstetrics/gynecology, orthopedics, general and visceral surgery. Anonymity and confidentiality of collected data were respected. Results: We recorded 224 emergency consultations for trauma in pregnancy out of 26,735 obstetric and gynecological consultations which gave a frequency of 0.8%. The mean age of our patients was 25.9 ± 5 years and mean parity was 1. Housewives accounted for 50% of patients and referrals were the mode of admission in 74.6% of cases. The causes of injury were dominated by road traffic accidents in 82.6% of cases, falls in 9.8% and assault in 7.6%. The mean gestational age of onset of trauma was 26.3 ± 7 weeks amenorrhea. The management was multidisciplinary with a medical component in 99.1% of cases, obstetric component in 13% of cases, a visceral surgery component in 6.7% of cases and an orthopedic component in 4.2% case. Multiple traumas were found in 4 patients. The fetal prognosis showed in the 1st trimester 3 cases of abortion in the 2nd trimester 5 cases of intrauterine fetal death and in the 3rd trimester 10 cases of preterm labor. Conclusion: Traumas during pregnancy are beyond emergencies within multiple causes and requiring a multidisciplinary management. Seen the limited means of support, establishment of a national strategy to prevent trauma in pregnancy will improve the prognosis for mother and child.
Highlights
Trauma complicates up to 7% of all pregnancies
Seen the limited means of support, establishment of a national strategy to prevent trauma in pregnancy will improve the prognosis for mother and child
In the absence of previous studies on trauma during pregnancy in Burkina Faso, we propose to describe the epidemiological, clinical, prognostic and therapeutic pattern of these injuries during pregnancy at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Burkina Faso
Summary
Trauma complicates up to 7% of all pregnancies. It’s the leading cause of death none related to pregnancy [1] [2]. The consequence of these injuries varies according to the term of gestation and the mechanism of occurrence [3]. In Burkina Faso, we noticed more and more increase in number of vehicles and motorcycles. In the absence of previous studies on trauma during pregnancy in Burkina Faso, we propose to describe the epidemiological, clinical, prognostic and therapeutic pattern of these injuries during pregnancy at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Burkina Faso
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