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Maternal and infant outcomes after injury during pregnancy in Washington State from 1989 to 1997.
J Trauma. 2002 Nov; 53(5):939-45.JT

Abstract

BACKGROUND

Few population-based studies have assessed maternal and infant outcomes after nonfatal injuries occurring during pregnancy.

METHODS

We performed a retrospective cohort study to assess outcomes of pregnant women hospitalized for injury in Washington State from 1989 to 1997. We used the Injury Severity Score (ISS) to classify 266 nonseverely injured (ISS of 1-8) and 28 severely injured (ISS > 9) pregnant women who delivered at their injury hospitalization. We compared these women to 12,578 pregnant women randomly selected from Washington State birth and fetal death certificates who had no injury hospitalization during pregnancy.

RESULTS

Nonseverely injured pregnant women were at increased risk of placental abruption and their infants were at increased risk of hypoxia and fetal death. Severely injured pregnant women were at a 17-fold (95% confidence interval, 6.2-46.8) increased risk of placental abruption and their infants were at increased risk of prematurity, low birth weight, and fetal distress, and a 30-fold (95% confidence interval, 9.4-97.1) increased risk of fetal death.

CONCLUSION

Nonsevere as well as severe injuries resulting in hospitalization during pregnancy can result in adverse maternal and infant outcomes.

Authors+Show Affiliations

Department of Epidemiology, University of Washington, School of Public Health, USA. mschiff@u.washington.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12435947

Citation

Schiff, Melissa A., et al. "Maternal and Infant Outcomes After Injury During Pregnancy in Washington State From 1989 to 1997." The Journal of Trauma, vol. 53, no. 5, 2002, pp. 939-45.
Schiff MA, Holt VL, Daling JR. Maternal and infant outcomes after injury during pregnancy in Washington State from 1989 to 1997. J Trauma. 2002;53(5):939-45.
Schiff, M. A., Holt, V. L., & Daling, J. R. (2002). Maternal and infant outcomes after injury during pregnancy in Washington State from 1989 to 1997. The Journal of Trauma, 53(5), 939-45.
Schiff MA, Holt VL, Daling JR. Maternal and Infant Outcomes After Injury During Pregnancy in Washington State From 1989 to 1997. J Trauma. 2002;53(5):939-45. PubMed PMID: 12435947.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal and infant outcomes after injury during pregnancy in Washington State from 1989 to 1997. AU - Schiff,Melissa A, AU - Holt,Victoria L, AU - Daling,Janet R, PY - 2002/11/19/pubmed PY - 2002/12/20/medline PY - 2002/11/19/entrez SP - 939 EP - 45 JF - The Journal of trauma JO - J Trauma VL - 53 IS - 5 N2 - BACKGROUND: Few population-based studies have assessed maternal and infant outcomes after nonfatal injuries occurring during pregnancy. METHODS: We performed a retrospective cohort study to assess outcomes of pregnant women hospitalized for injury in Washington State from 1989 to 1997. We used the Injury Severity Score (ISS) to classify 266 nonseverely injured (ISS of 1-8) and 28 severely injured (ISS > 9) pregnant women who delivered at their injury hospitalization. We compared these women to 12,578 pregnant women randomly selected from Washington State birth and fetal death certificates who had no injury hospitalization during pregnancy. RESULTS: Nonseverely injured pregnant women were at increased risk of placental abruption and their infants were at increased risk of hypoxia and fetal death. Severely injured pregnant women were at a 17-fold (95% confidence interval, 6.2-46.8) increased risk of placental abruption and their infants were at increased risk of prematurity, low birth weight, and fetal distress, and a 30-fold (95% confidence interval, 9.4-97.1) increased risk of fetal death. CONCLUSION: Nonsevere as well as severe injuries resulting in hospitalization during pregnancy can result in adverse maternal and infant outcomes. SN - 0022-5282 UR - https://www.unboundmedicine.com/medline/citation/12435947/Maternal_and_infant_outcomes_after_injury_during_pregnancy_in_Washington_State_from_1989_to_1997_ L2 - https://doi.org/10.1097/00005373-200211000-00021 DB - PRIME DP - Unbound Medicine ER -