- Maternal trauma can have acute fetal effects and longer-term fetal and infant effects post-trauma discharge.
Why this matters
- Trauma is a leading cause of nonobstetric morbidity and mortality during pregnancy.
- Increased antepartum surveillance after trauma may be warranted.
- Trauma admission occurred most commonly in the third trimester (40%).
- 81% of cases involved blunt trauma, most commonly from motor vehicle accidents.
- 22% of fetuses were immediately affected by the traumatic event.
- Risks for adverse events at subsequent admission compared with trauma admission:
- Cesarean delivery: 12% vs 80% (P<.001>
- Abnormal Apgar scores: 5% vs 60% (P<.001>
- Low birth weight: 5% vs 65% (P<.001>
- Placental abruption: 2% vs 40% (P=.008); and
- Fetal mortality: 0% vs 25% (P<.001>
- Retrospective review.
- Cohort obtained from a trauma registry between 2009 and 2017 (n=5654).
- Clinical outcomes of fetuses delivered during index trauma (n=20) and those delivered during a subsequent admission after the index trauma (n=43) compared.
- Funding: None.
- Small numbers in study.
- Study is from a trauma center; traumas may be more severe than in the general population, and results may not be generalizable.
- No comparison with group without trauma.