{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:21:16Z","timestamp":1787829676955,"version":"build-2784847793"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aim to describe characteristics, assessments and outcomes of pregnant trauma patients (PTP) in South Australia (SA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The SA Trauma Registry was utilised to identify PTP from 1 July 2018\u201330 June 2023. Registry data and patient electronic medical records were analysed using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four hundred two patients were included. The mean maternal and gestational ages were 28\u2009years and 27\u2009weeks, respectively. 80% had no comorbidities. Blunt trauma accounted for 98% of injury type. The mechanism of injury for 60% of patients was Motor Vehicle Crash; 16% were uninjured; 58% sustained minor soft tissue injuries only. Despite the low mean ISS (1.6, SD 2.87), trauma teams were activated in 95% of cases. A primary survey was documented in 34%. An obstetric clinician was documented as present in 4% of cases. 96% did not require a medical procedure; three patients underwent emergency Lower Segment Caesarean Section. 93% were discharged directly from ED. Admitted patients had a mean hospital LOS of 21.8\u2009h. There were no maternal deaths. Two patients suffered trauma\u2010related intrauterine foetal demise. The mean gestational age at delivery was 38\u2009weeks; 12% had preterm delivery. No trauma\u2010related neonatal deaths were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PTP presentations in SA are infrequent, primarily resulting in minor injuries. Trauma assessments are incompletely documented, and along with investigations, often do not adhere to local guidelines. Good trauma care for PTPs should involve an obstetrician and follow ATLS principles. Guidelines should be implemented and followed to ensure standardised comprehensive care of PTPs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70324","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T07:29:46Z","timestamp":1786001386000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trauma in Pregnancy: A 5\u2010Year Multi\u2010Centre Retrospective Registry Analysis in South Australia"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5795-7050","authenticated-orcid":false,"given":"Dieter","family":"Linde","sequence":"first","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Adelaide South Australia Australia"},{"name":"Head of Unit, Trauma Service Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4904-6478","authenticated-orcid":false,"given":"Monique","family":"Pisaniello","sequence":"additional","affiliation":[{"name":"Division of Surgery and Perioperative Medicine Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8018-4051","authenticated-orcid":false,"given":"Elena Andreea","family":"Popa","sequence":"additional","affiliation":[{"name":"Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3966-330X","authenticated-orcid":false,"given":"Dimitrios","family":"Nikos","sequence":"additional","affiliation":[{"name":"Division of Surgery and Perioperative Medicine Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0638-7509","authenticated-orcid":false,"given":"Blaise","family":"Bird","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Harrington","sequence":"additional","affiliation":[{"name":"Nurse Manager, Trauma Service Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2024.04.029"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2007.12.006"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31828b82f5"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2217\/WHE.09.6"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2017.11.004"},{"key":"e_1_2_12_7_1","unstructured":"Department for Health and Wellbeing (SA) \u201cSouth Australian Trauma Registry \u201d(2018)."},{"key":"e_1_2_12_8_1","unstructured":"Clinical Governance Unit SH \u201cSouth Australian Trauma System (SATS) Clinical Governance Framework \u201d(2022)."},{"key":"e_1_2_12_9_1","unstructured":"South Australian Ambulance Service \u201cMajor Trauma Tool (CTL\u2010042 Version 1.2) \u201d2025."},{"key":"e_1_2_12_10_1","unstructured":"Government of South Australia \u201cAbdominal Pain and Trauma in Pregnancy South Australian Perinatal Practice Guideline \u201d2019."},{"key":"e_1_2_12_11_1","unstructured":"IBM Corp SPSS Statistics for Windows2020."},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2019.01.002"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.14744\/tjtes.2023.21533"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481908500742"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010025\u201002805\u2010x"},{"key":"e_1_2_12_16_1","unstructured":"D.Krywko F. 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