Causes of trauma in pregnant women referred to shabih-khani maternity hospital in kashan.
BACKGROUND
Trauma occurs in 7% of pregnancies and is a major cause of morbidity and mortality in the mother and fetus.


OBJECTIVE
The present study was conducted in Kashan in 2009-2010 to evaluate the causes of trauma in pregnancy.


METHODS
This descriptive study analyzed data from 32 pregnant women with trauma who were referred to the maternity hospital from 2009 to 2010. Data included age, gestational age, mother's occupation, cause of trauma, maternal-fetal complications, gravidity, and parity. The diagnosis of maternal and fetal complications was based on clinical examinations by a gynecologist and results of blood tests, urine analysis tests, and sonography. Data were analyzed as frequency distributions.


RESULTS
the causes of trauma included falling (9 cases (28.1%)), abdominal trauma (8 cases ( 25%)), spousal feud (3 cases (9.4%)), motorcycle accident (2 cases (6.25%)), car accident (2 cases (6.25%)), falling from a motorcycle (2 cases (6.25%)), falling or fainting resulting in head trauma (1 case (3.1%)), pain from crossing over a bump in the car (1 cases (3.1%)), and unspecified causes (4 cases (12.55%)). The causes of traumas occurred between 5 and 40 weeks of gestation. In 17.2% of the cases, trauma occurred prior to 20 weeks of gestation. However, there was no significant relationship between the cause of trauma and maternal age or gestational age. Vaginal bleeding and retroplacental clots were reported in 2 (6.25%) cases and 1 (3.1%) case, respectively.


CONCLUSIONS
Nearly half of the women presenting with trauma had experienced spousal feud or domestic violence; therefore, it is necessary to recognize spousal abuse and provide adequate support to traumatized pregnant women.
Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.
Elaheh
E
Mesdaghinia
Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran.
Zahra
Z
Sooky
Department of Pharmacology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, IR Iran.
Azam
A
Mesdaghinia
Domestic Violence; Pregnant Women; Wounds and Injuries