Evaluating pregnancy trauma-induced mother and fetus complications in Kashan during 2005-5006

With the advancing rate of the blunt and non-blunt traumas, the occurrence of such traumas in pregnancy increases. Such traumas could result in mother and fetus complications. Considering the prevalence and the importance of trauma and the controversy seen on the causes and complications, the present study was designed to evaluate the mother and fetus complications induced by pregnancy traumas in Kashan educational hospitals during 1384-1387. This descriptive study was carried out on 5500 deliveries. All pregnant (n=60) hospitalized for traumatic reasons in the center were studied for personal data, type of the trauma, site of injury, mother and fetus complications based on physical examination. Findings was reported as descriptive statistics and frequency distribution tables. Sixty (1.1%) out of the 5500 delivery cases were hospitalized for traumatic reasons. Fifty-five (91.6%) were in age range of 18-35 years. In terms of gestational age 15 (25%) cases were < 20 weeks 40 (66.6%) between 20-36 weeks and 5(9%) >20 weeks. The type of trauma in 58 (96.7%) was non-blunt and the reason in 61.7% of cases was accidents. Five cases had mother complications (e.g. premature delivery, need for cesarean and placental decollement) and 8 (13.3%) cases had fetus complications (abortion, heart rate fall, premature delivery and in-utero death). Based on our study the prevalence of delivery traumas are higher than the similar studies in other countries and are concurrent with the increasing mother and fetus complications. Regarding the importance of the topic and in order to decrease the trauma- induced risks, attempts for increasing the safety level of pregnant mothers are recommended.