GENERAL ASPECTS OF MANAGEMENT IN PREGNANT PATIENTS WITH MUSCULOSKELETAL TRAUMA

Abstract

Objectives. The article presents the review of the specialized literature, which emphasizes that trauma in pregnant patients is a direct threat to the lives of woman and fetus that determines the importance and relevance of research on this issue, for medicine and society. The frequency of traumatic injuries in pregnant women reaches 6-7%. Injuries during pregnancy are considered the leading cause of death in pregnant women without obstetric etiology – 46%. The management of pregnant women with trauma is of particular relevance: the results of these injuries are characterized by high fetal mortality, disabilities and psychological trauma for the mother. Material and methods. A retrospective analysis of 24 medical records was performed of pregnant patients with trauma, treated in the Institute of Emergency Medicine, Chișinău, Republic of Moldova, during 2013-2019. The mean patients age was 25,2 ±1,9 years. Causes of trauma were: traffic road accidents – 58,33%, falls – 16,66%, other causes – 25%. The following investigations were used: clinical examination, ultrasonography, radiological examination, laboratory tests. Results. The management of traumatized pregnant women depends on hemodynamic stability. Volume of surgery in each case was determined by the nature of injury and the general condition of the patient. Complex and individual treatment was performed. Conclusions. The relevance of the study indicates the need for additional research on this topic, paying attention on the complications, unsatisfactory results on pregnancy and fetus. It is obvious that we need to develop a general protocol, accepted for the provision of emergency medical care for pregnant women with polytrauma.

Keywords

• pregnant
• trauma
• management