Burns During Pregnancy
| Autor: | Pavan Parikh, Elizabeth Lutz, J. C. Kolb, Imran Sunesara, Sandip Sawardecker, James N. Martin |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Pediatrics
medicine.medical_specialty Health Personnel MEDLINE Poison control Gestational Age Obstetrics and gynaecology Pregnancy Injury prevention medicine Humans Maternal Health Services Fetal Monitoring Intensive care medicine business.industry Obstetrics and Gynecology Gestational age General Medicine medicine.disease Perinatology Pregnancy Complications Maternal Mortality Practice Guidelines as Topic Fetal Mortality Female Maternal death Burns business Total body surface area |
| Zdroj: | Obstetrical & Gynecological Survey. 70:633-643 |
| ISSN: | 0029-7828 |
| Popis: | When a major burn is suffered during pregnancy, the obstetric provider is challenged to respond on an evidence basis because personal experience usually is lacking. Currently, there is a paucity of publications to inform the obstetrician, guide practice, and impact early critical decision making.The aims of this study were to summarize the available information on early management of burns during pregnancy and to identify components of best practices for optimal outcome.The PubMed database was searched for relevant titles and abstracts involving pregnant patients suffering from second-/third-degree burns. Among these studies, the bibliographies were investigated for further relevant literature. A total of 114 studies were identified during the initial search, and only studies published in English and French were included for a total of 42. Variable data were available for 1141 patients, with complete data for 139 cases. Mediation and regression analysis were used for available data. Insufficient data were available to undertake a systematic review.Total body surface area of burns (TBSAB) was positively associated with maternal death, and the odds of maternal mortality increase by 1.08 per percentage increase of TBSAB (P0.001). Fetal survival depends on maternal survival (P ≤ 0.001). Maternal survival declines incrementally when TBSAB exceeds 55%, and inhalation injury further exacerbates maternal-perinatal risk.Emergent assessment of the pregnant burn victimincludes determination of gestational age, extent of TBSAB, presence of inhalation injury, and continuous fetal monitoring. If gestational age is 24 weeks or longer and TBSAB exceeds 55%, urgent cesarean delivery appears desirable for the mother and baby.A specific analysis of maternal-perinatal outcome based on TBSAB and gestational age is relevant to obstetric and emergency providers who provide care to pregnant burn patients. |
| Databáze: | OpenAIRE |
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