Study of relation between trauma and abortion in referral cases to Legal Medicine Organization of Tehran 1379 - 1380

Diagnosis of abortion due to trauma is one of the important duties of physicians. In this study the relation between trauma and abortion is discussed to find an appropriate strategy for physical cases. This has been a prospective correlational study, 50 pregnant women who had trauma to abdomen followed by abortion were observed. They were referred to observation department of central legal medicine organization with in a period of 8 months. The findings were analyzed by SPSS. Most of cases were between 25-30 y/o. of which, 36 patients (72%) were from Tehran and 14 (28%) from elsewhere. They were often housekeeper and their education was highschool graduate or less. History of abortion in 5 patients (10%) was positive and 6 patients (12%) had familial marriage average gestational age of 13/8 week. There was evidence of trauma (injury) to abdomen and pelvic region in 6 patients (12%) and to other parts of body in 25 patients (50%). Vaginal bleeding because threatened abortion was seen in 33 patients 66%) in which 31 patients had vaginal bleeding before 24 hours and 2 patients after 24 hours following the truama. Relation between trauma and abortion in 14 patients (28%) was confirmed. 21 patients 42%) had not reliable history. Only 15 patients (30%) had sign of threatened abortion and evidence of trauma without abortion Physical trauma to pregnant women can lead to abortion and preterm labor If: 1) Trauma is severe 2) Manifestations of threatened abortion are present immediately after trauma.