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Gebelikte Travma ve Yönetimi

Yıl 2022, Cilt: 2 Sayı: 3, 670 - 679, 26.12.2022

Ayşe Dilan Koçak Sevil Günaydın Hüsniye Dinç Kaya

https://doi.org/10.56061/fbujohs.1139181

Öz

Gebelikte travma yaşamı tehdit eden bir durum olup obstetrik olmayan ölümlerin önde gelen nedenlerinden biridir. Gebelikte travma önemli bir halk sağlığı sorunudur. Yaklaşık on iki gebeden biri travmaya maruz kalmaktadır. Gebelikte travmanın en sık rapor edildiği dönem üçüncü trimesterdir. Gebelikte hormonal değişiklikler nedeniyle kas-iskelet sistemi özellikleri değişerek yumuşak doku yaralanma riski artmaktadır. Ayrıca gebelikte karın bölgesi penetran ve çoğunlukla künt olmak üzere travmalara maruz kalmaktadır. Bu durum morbidite ve mortalite açısından ciddi sonuçlar doğurur. Gebelikte meydana gelen travmaların olumsuz maternal ve neonatal sonuçları nedeniyle travmaların önlenmesi çok önemlidir. Gebelikte travma vakaları yönetimi zor olduğundan hem anne hem de fetüsün sağlığı için multidisipliner olarak çalışılmalıdır. Sağlık profesyonelleri gebelikte oluşan travmanın yönetimi için hem gebelikte oluşan anatomik ve fizyolojik değişiklikler hem de travmaların etkin şekilde yönetimi konusunda bilgi sahibi olmalıdır.

Anahtar Kelimeler

Gebelik travma batın travması yanık

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

Kaynakça

  • Al-Thani, H., El-Menyar, A., Sathian, B., Mekkodathil, A., Thomas, S., Mollazehi, M., & Abdelrahman, H. (2019). Blunt traumatic injury during pregnancy: A descriptive analysis from a level 1 trauma center. European Journal of Trauma and Emergency Surgery, , 45(3), 393-401. doi: 10.1007/s00068-018-0948-1
  • Avcı, S., Arslan, E. D., & Büyükcam, F. (2017). Acil Serviste Travmatik Ölümlerin Retrospektif Değerlendirilmesi. Sakarya Tıp Dergisi, 7(1), 1-1. doi: 10.31832/smj.311158
  • Cain, U., Gaetke-Udager, K., Siegal, D., & Yablon, C. (2021). Musculoskeletal injuries in pregnancy. In Seminars in Roentgenology, 56(1), 79-89. doi: 10.1053/j.ro.2020.09.002
  • Chames, M.C., & Pearlman, M.D. (2008) Trauma during pregnancy: Outcomes and clinical management. Clinical Obstetrics And Gynecology, 51(2), 398-408. doi: 10.1097/GRF.0b013e31816f2aa7
  • Correia-Sá, I., Marques, M., Horta, R., Costa-Ferreira, A., Rodrigues, A. G., Silva, Á., & Egipto, P. (2021). Experience in management of burn injury during pregnancy in a burn unit. Journal of Burn Care & Research, 42(2), 232-235. doi: 10.1093/jbcr/iraa141
  • Di Napoli, M., DeVoe, W. B., Leon, S., Crookes, B., Privette, A., Graybill, W., & Eriksson, E. A. (2021). Decreased incidence of rib fractures in pregnant patients after motor vehicle collisions. American Journal of Critical Care, 30(5), 385-390. doi: 10.4037/ajcc2021505
  • Doğrul, B.N., Kiliccalan, I., Asci, E.S., & Peker, S.C. (2020). Blunt trauma related chest wall and pulmonary injuries: An overview. Chinese journal of traumatology, 23(3), 125-138. doi: 10.1016/j.cjtee.2020.04.003
  • Duman, N. (2019). Travma sonrası büyüme ve gelişim. Uluslararası Afro-Avrasya Araştırmaları Dergisi, 4 (7), 178-184.
  • Greco, P.S., Day, L.J., & Pearlman, M. D. (2019). Guidance for evaluation and management of blunt abdominal trauma in pregnancy. Obstetrics & Gynecology, 2019, 134(6), 1343-1357. doi: 10.1097/AOG.0000000000003585
  • Herath, M., Wong, P., Trinh, A., Allan, C. A., Wallace, E. M., Ebeling, P. R., & Milat, F. (2017). Minimal-trauma ankle fractures predominate during pregnancy: A 17-year retrospective study. Archives of osteoporosis, 2017, 12(1), 1-8. doi: 10.1007/s11657-017-0380-x
  • Huls, C.K., & Detlefs, C. (2018). Trauma in pregnancy. In Seminars in Perinatology, 2018, 42(1), 13-20.
  • Karimi, H., Sedigh-Maroufi, S., Akbari, H., Latifi, N. A., Momeni, M., Karimi, A. M., & Safari, R. (2020). Pregnancy and burns: Guidelines for safe management. Burns, 2020, 46(7), 1620-1631. doi: 10.1016/j.burns.2020.04.005
  • Kennedy, B.B., Baird, S.M., & Troiano, N.H. (2008). Burn injuries and pregnancy. The Journal of Perinatal & Neonatal Nursing, 2008, 22(1), 21-30. doi: 10.1097/01.JPN.0000311871.46075.3d Kilpatrick, S. J., Manaker, S., & Moreira, M. E. (2022). Initial evaluation and management of major trauma in pregnancy, https://www.uptodate.com/contents/initial-evaluation-and-management-of-major-trauma-in-pregnancy/print.
  • Kocamer, B., Gökçe, O.N., Aksoy, A., & Deniz, İ.K. (2014). Gebe hastada abdominal kurşun yaralanması: Olgu sunumu. Perinatoloji Dergisi, 22(2), 182-183. doi:10.2399/prn.14.0222006
  • La Rosa, M., Loaiza, S., Zambrano, M.A., & Escobar, M. F. (2020). Trauma in pregnancy. Clinical Obstetrics and Gynecology, 63(2), 447-454. doi: 10.1097/GRF.0000000000000531
  • Legros, B., Aesch, B., Fournier, P., Chiaroni, P., & Ritz, O. (2000). Head injury and pregnancy. Neuro-chirurgie, 46(2), 110-116.
  • Menon, R., & Irving, T. (2022). Trauma in Pregnancy. In Textbook of Acute Trauma Care, Springer, Cham, ss 691-704.
  • Mosley, E. A., & Lanning, R. K. (2020). Evidence and guidelines for trauma-informed doula care, Midwifery, 83, 102643. doi: 10.1016/j.midw.2020.102643
  • Oumarou, O., Landry, T.W., Joe, N.C., Wirwah, F.T., & Ulrich, B.S. (2019). Abdominal stab wound in a pregnant woman resulting in evisceration, uterine perforation and fetal chest ınjury: A case report and literature review, J Surg Surgical Res, 5(1), 10-014. Doi: 10.17352/2455-2968.000060
  • Özpek, A., Yücel, M., Atak, İ., Bas, G., Alimoğlu, O. (2015). Multivariate analysis of patients with blunt trauma and possible factors affecting mortality. Ulusal Travma ve Acil Cerrahi Dergisi, 21(6), 477-483. doi: 10.5505/tjtes.2015.43077
  • Pala, H.G. (2022) Gebelikte yanık. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi (Özel Sayı), 26(1) 33-38.
  • Parikh, B., Hussain, F.N., & Brustman, L. (2019). Acute abdomen in pregnancy. Topics in Obstetrics & Gynecology, 39(7), 1-7. doi: 10.1097/01.PGO.0000557785.23325.78
  • Peksöz, R., & Bayar, B. (2020). Türkiye’nin doğusunda II. basamak bir devlet hastanesinin acil genel cerrahi hasta profili. Euroasia Journal of Mathematics, Engineering, Natural & Medical Sciences International Indexed & Refereed, 10(7), 47-54.
  • Petrone, P., Jiménez-Morillas, P., Axelrad, A., & Marini, C.P. (2019).Traumatic injuries to the pregnant patient: a critical literature review. European Journal of Trauma And Emergency Surgery, 45(3), 383-392. doi:10.1007/s00068-017-0839-x
  • Sakamoto, J., Michels, C., Eisfelder, B., & Joshi, N. (2019). Trauma in pregnancy. Emergency Medicine Clinics, 2019, 37(2), 317-338.
  • Shi, Y., Zhang, X., Huang, B.G., Wang, W.K., & Liu, Y. (2015). Severe burn injury in late pregnancy: A case report and literature review. Burns & Trauma, 3, 2-4. doi: 10.1186/s41038-015-0002-z
  • Suchecki, G., Tilden, H., Roloff, K., Chandwani, D., & Neeki, M. (2020). Management of traumatic uterine rupture in blunt abdominal trauma: A case report and literature review. Cureus,12(6): e8396. DOI 10.7759/cureus.8396. doi:10.7759/cureus.8396
  • T.C. Sağlık Bakanlığı, Halk Sağlığı Genel Müdürlüğü, Kadın ve Üreme Sağlığı Dairesi Başkanlığı, Acil Obstetrik Bakım Yönetim Rehberi. (2022). https://sivasism.saglik.gov.tr/Eklenti/159916/0/acil-obstetrik-bakim-yonetim-rehberi-2022pdf.pdf ,
  • Vulkov, I., Bozhinov, P. (2016). Head injury during pregnancy. Akusherstvo i Ginekologiia, 55(2), 22-26.
  • Waugh, C.M, Scott, A. (2022). Case studies in physiology: Adaptation of loading-bearing tendons during pregnancy. Journal of Applied Physiology,132(5):1280-1289. doi: 10.1152/japplphysiol.00555.2021

Trauma in Pregnancy and Its Management

Yıl 2022, Cilt: 2 Sayı: 3, 670 - 679, 26.12.2022

Ayşe Dilan Koçak Sevil Günaydın Hüsniye Dinç Kaya

https://doi.org/10.56061/fbujohs.1139181

Öz

Trauma during pregnancy is a life-threatening condition and one of the leading causes of non-obstetric deaths. Trauma during pregnancy is an important public health problem. Approximately one in twelve pregnant women is exposed to trauma. The most frequently reported period of trauma during pregnancy is the the third trimester. Due to hormonal changes during pregnancy, the musculoskeletal system characteristics change and the risk of soft tissue injury increases. In addition, the abdominal region is exposed to penetrating and mostly blunt traumas during pregnancy. This situation has serious consequences in terms of morbidity and mortality. It is very important to prevent traumas due to negative maternal and neonatal consequences of traumas during pregnancy. Since the management of trauma cases during pregnancy is difficult, multidisciplinary work should be done for the health of both mother and fetus. Health professionals should have knowledge about both the anatomical and physiological changes that occur during pregnancy and the effective management of traumas for the management of trauma during pregnancy.

Anahtar Kelimeler

Pregnancy trauma abdominal trauma burn

Proje Numarası

yok

Kaynakça

  • Al-Thani, H., El-Menyar, A., Sathian, B., Mekkodathil, A., Thomas, S., Mollazehi, M., & Abdelrahman, H. (2019). Blunt traumatic injury during pregnancy: A descriptive analysis from a level 1 trauma center. European Journal of Trauma and Emergency Surgery, , 45(3), 393-401. doi: 10.1007/s00068-018-0948-1
  • Avcı, S., Arslan, E. D., & Büyükcam, F. (2017). Acil Serviste Travmatik Ölümlerin Retrospektif Değerlendirilmesi. Sakarya Tıp Dergisi, 7(1), 1-1. doi: 10.31832/smj.311158
  • Cain, U., Gaetke-Udager, K., Siegal, D., & Yablon, C. (2021). Musculoskeletal injuries in pregnancy. In Seminars in Roentgenology, 56(1), 79-89. doi: 10.1053/j.ro.2020.09.002
  • Chames, M.C., & Pearlman, M.D. (2008) Trauma during pregnancy: Outcomes and clinical management. Clinical Obstetrics And Gynecology, 51(2), 398-408. doi: 10.1097/GRF.0b013e31816f2aa7
  • Correia-Sá, I., Marques, M., Horta, R., Costa-Ferreira, A., Rodrigues, A. G., Silva, Á., & Egipto, P. (2021). Experience in management of burn injury during pregnancy in a burn unit. Journal of Burn Care & Research, 42(2), 232-235. doi: 10.1093/jbcr/iraa141
  • Di Napoli, M., DeVoe, W. B., Leon, S., Crookes, B., Privette, A., Graybill, W., & Eriksson, E. A. (2021). Decreased incidence of rib fractures in pregnant patients after motor vehicle collisions. American Journal of Critical Care, 30(5), 385-390. doi: 10.4037/ajcc2021505
  • Doğrul, B.N., Kiliccalan, I., Asci, E.S., & Peker, S.C. (2020). Blunt trauma related chest wall and pulmonary injuries: An overview. Chinese journal of traumatology, 23(3), 125-138. doi: 10.1016/j.cjtee.2020.04.003
  • Duman, N. (2019). Travma sonrası büyüme ve gelişim. Uluslararası Afro-Avrasya Araştırmaları Dergisi, 4 (7), 178-184.
  • Greco, P.S., Day, L.J., & Pearlman, M. D. (2019). Guidance for evaluation and management of blunt abdominal trauma in pregnancy. Obstetrics & Gynecology, 2019, 134(6), 1343-1357. doi: 10.1097/AOG.0000000000003585
  • Herath, M., Wong, P., Trinh, A., Allan, C. A., Wallace, E. M., Ebeling, P. R., & Milat, F. (2017). Minimal-trauma ankle fractures predominate during pregnancy: A 17-year retrospective study. Archives of osteoporosis, 2017, 12(1), 1-8. doi: 10.1007/s11657-017-0380-x
  • Huls, C.K., & Detlefs, C. (2018). Trauma in pregnancy. In Seminars in Perinatology, 2018, 42(1), 13-20.
  • Karimi, H., Sedigh-Maroufi, S., Akbari, H., Latifi, N. A., Momeni, M., Karimi, A. M., & Safari, R. (2020). Pregnancy and burns: Guidelines for safe management. Burns, 2020, 46(7), 1620-1631. doi: 10.1016/j.burns.2020.04.005
  • Kennedy, B.B., Baird, S.M., & Troiano, N.H. (2008). Burn injuries and pregnancy. The Journal of Perinatal & Neonatal Nursing, 2008, 22(1), 21-30. doi: 10.1097/01.JPN.0000311871.46075.3d Kilpatrick, S. J., Manaker, S., & Moreira, M. E. (2022). Initial evaluation and management of major trauma in pregnancy, https://www.uptodate.com/contents/initial-evaluation-and-management-of-major-trauma-in-pregnancy/print.
  • Kocamer, B., Gökçe, O.N., Aksoy, A., & Deniz, İ.K. (2014). Gebe hastada abdominal kurşun yaralanması: Olgu sunumu. Perinatoloji Dergisi, 22(2), 182-183. doi:10.2399/prn.14.0222006
  • La Rosa, M., Loaiza, S., Zambrano, M.A., & Escobar, M. F. (2020). Trauma in pregnancy. Clinical Obstetrics and Gynecology, 63(2), 447-454. doi: 10.1097/GRF.0000000000000531
  • Legros, B., Aesch, B., Fournier, P., Chiaroni, P., & Ritz, O. (2000). Head injury and pregnancy. Neuro-chirurgie, 46(2), 110-116.
  • Menon, R., & Irving, T. (2022). Trauma in Pregnancy. In Textbook of Acute Trauma Care, Springer, Cham, ss 691-704.
  • Mosley, E. A., & Lanning, R. K. (2020). Evidence and guidelines for trauma-informed doula care, Midwifery, 83, 102643. doi: 10.1016/j.midw.2020.102643
  • Oumarou, O., Landry, T.W., Joe, N.C., Wirwah, F.T., & Ulrich, B.S. (2019). Abdominal stab wound in a pregnant woman resulting in evisceration, uterine perforation and fetal chest ınjury: A case report and literature review, J Surg Surgical Res, 5(1), 10-014. Doi: 10.17352/2455-2968.000060
  • Özpek, A., Yücel, M., Atak, İ., Bas, G., Alimoğlu, O. (2015). Multivariate analysis of patients with blunt trauma and possible factors affecting mortality. Ulusal Travma ve Acil Cerrahi Dergisi, 21(6), 477-483. doi: 10.5505/tjtes.2015.43077
  • Pala, H.G. (2022) Gebelikte yanık. İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi (Özel Sayı), 26(1) 33-38.
  • Parikh, B., Hussain, F.N., & Brustman, L. (2019). Acute abdomen in pregnancy. Topics in Obstetrics & Gynecology, 39(7), 1-7. doi: 10.1097/01.PGO.0000557785.23325.78
  • Peksöz, R., & Bayar, B. (2020). Türkiye’nin doğusunda II. basamak bir devlet hastanesinin acil genel cerrahi hasta profili. Euroasia Journal of Mathematics, Engineering, Natural & Medical Sciences International Indexed & Refereed, 10(7), 47-54.
  • Petrone, P., Jiménez-Morillas, P., Axelrad, A., & Marini, C.P. (2019).Traumatic injuries to the pregnant patient: a critical literature review. European Journal of Trauma And Emergency Surgery, 45(3), 383-392. doi:10.1007/s00068-017-0839-x
  • Sakamoto, J., Michels, C., Eisfelder, B., & Joshi, N. (2019). Trauma in pregnancy. Emergency Medicine Clinics, 2019, 37(2), 317-338.
  • Shi, Y., Zhang, X., Huang, B.G., Wang, W.K., & Liu, Y. (2015). Severe burn injury in late pregnancy: A case report and literature review. Burns & Trauma, 3, 2-4. doi: 10.1186/s41038-015-0002-z
  • Suchecki, G., Tilden, H., Roloff, K., Chandwani, D., & Neeki, M. (2020). Management of traumatic uterine rupture in blunt abdominal trauma: A case report and literature review. Cureus,12(6): e8396. DOI 10.7759/cureus.8396. doi:10.7759/cureus.8396
  • T.C. Sağlık Bakanlığı, Halk Sağlığı Genel Müdürlüğü, Kadın ve Üreme Sağlığı Dairesi Başkanlığı, Acil Obstetrik Bakım Yönetim Rehberi. (2022). https://sivasism.saglik.gov.tr/Eklenti/159916/0/acil-obstetrik-bakim-yonetim-rehberi-2022pdf.pdf ,
  • Vulkov, I., Bozhinov, P. (2016). Head injury during pregnancy. Akusherstvo i Ginekologiia, 55(2), 22-26.
  • Waugh, C.M, Scott, A. (2022). Case studies in physiology: Adaptation of loading-bearing tendons during pregnancy. Journal of Applied Physiology,132(5):1280-1289. doi: 10.1152/japplphysiol.00555.2021
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Ayşe Dilan Koçak 0000-0002-6683-0598

Sevil Günaydın 0000-0003-2539-8783

Hüsniye Dinç Kaya 0000-0002-8461-643X

Proje Numarası yok
Yayımlanma Tarihi 26 Aralık 2022
Gönderilme Tarihi 1 Temmuz 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 2 Sayı: 3

Kaynak Göster

APA Koçak, A. D., Günaydın, S., & Dinç Kaya, H. (2022). Gebelikte Travma ve Yönetimi. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, 2(3), 670-679. https://doi.org/10.56061/fbujohs.1139181
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