Abstract
:The main objective for introducing this case study is to create a platform from which the importance of road traffic related injuries and traumas can be emphasized and discussed within and across various fields of investigation. The long term goal is to entice public campaign around unmet needs for higher road safety measures to reduce primary, secondary, and tertiary risks of injuries and traumas. Case:A 28-year-old pregnant woman with a 16-week gestational age fetus was involved in a road car crash resulting in multiple traumas. Evaluation and treatment was initiated in the local Urgent Care Unit and continued in the emergency department and operation room. Patient underwent the following procedures: laparotomy, diverting colostomy, terminating pregnancy, right calcaneal traction and long leg splint, as well as multiple irrigation-debridements. Finally, the wound was left open and the patient was admitted to Intensive Care Unit. We hope that the introduction of this case for a "Ground Round" discussion will stir up a comprehensive discussion regarding the injury and trauma related preventive measures as well as treatment approaches in cases involving pregnant women in car accidents, and will bring about a holistic overview of this issue by the experts in various fields.
Highlights
The main objective for introducing this case study is to create a platform from which the importance of road traffic related injuries and traumas can be emphasized and discussed within and across various fields of investigation
Traumatic injuries are prevalent in 6% to 7% of pregnant women and are among the most common causes of nonobstetric maternal risk factors for spontaneous abortion, preterm labor, premature delivery, and mortality.[1,2, 3, 4]
Of the causes of trauma, motor vehicle accidents followed by domestic violence and falls are mostly responsible for abdominal injuries in pregnant women in compared to their nonpregnant counterparts
Summary
Traumatic injuries in pregnant women: a case of motor vehicle accident for “Ground Round” discussion. Alireza Ahmadi,a,b,* Taravat Fakheri,a Javad Amini-Saman,a Omid Amanollahi,a Mahmoudreza Mordi,a Maryam Almasi Nasrabadi,a Yousef Gholipour,a Reza Dehghani,a Shahrzad Bazargan-Hejazi,c a Imam Reza Hospital, Kermanshah, University of Medical Sciences, Kermanshah, Iran. B Department of Public Health Sciences, Division of Social Medicine, Karolinska Institute, Stockholm, Sweden. C Department of Psychiatry, College of Medicine, Charles Drew University of Medicine and Science, & David Geffen
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