Burn injuries and pregnancy.
Although burn injuries during pregnancy are considered relatively rare, the exact incidence is not known. Multiple factors influence morbidity and mortality resulting from burn injuries during pregnancy. These factors include the depth and size of the burn, the woman's underlying health and age, and the estimated gestational age of the fetus. Associated inhalation injury and development of other significant secondary complications also influence maternal and fetal outcomes. Successful burn care requires a team approach in which almost every healthcare discipline is represented. Initial care is almost always provided by a specially trained emergency medical team in an out-of-hospital setting. During this phase, the ability of the team to communicate with emergency hospital personnel facilitates appropriate clinical management at the scene. In addition, continued communication regarding the woman's status and responses to treatment allows critical care specialists within the hospital to ensure that necessary personnel and resources are available when the patient arrives. From the time the pregnant woman is admitted to a hospital for additional acute and critical care through the extensive process of rehabilitation from burn injuries, providing care often evokes strong emotions and requires specialized skills to achieve the most positive outcomes.
Kennedy
Betsy B
BB
School of Nursing, Vanderbilt University, Nashville, Tennessee 37240, USA. betsy.kennedy@vanderbilt.edu
Baird
Suzanne McMurtry
SM
Troiano
Nan H
NH
D002056:Burns / Q000145:classification / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D003142:Communication; D003422:Critical Care; D036861:Delivery, Obstetric; D004638:Emergency Treatment; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008428:Maternal Mortality; D016389:Maternal-Child Nursing / Q000458:organization & administration; D009017:Morbidity; D017283:Neonatal Nursing / Q000458:organization & administration; D009773:Obstetric Nursing / Q000458:organization & administration; D010348:Patient Care Team; D011247:Pregnancy; D011248:Pregnancy Complications / Q000145:classification / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D011256:Pregnancy Outcome / Q000453:epidemiology; D012307:Risk Factors; D014481:United States / Q000453:epidemiology