{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:39:27Z","timestamp":1777448367936,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T00:00:00Z","timestamp":1684972800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Traumatic injury in obstetric patients has been shown to correlate with adverse fetal outcomes; however, data predates modern resuscitation and imaging techniques. A single center retrospective review was performed analyzing risk factors for obstetric outcomes for pregnant patients seen at a Level 1 Trauma Center from 2010 to 2020. 571 pregnant patients were compared to nonpregnant child-bearing age women. Injury Severity Scores (ISS) were higher in nonpregnant patients (5 vs 0, P &lt; .001), with similar mortality ( P = .07). 558 (98%) injured pregnant patients had an ISS &lt; 9. 122 (21%) pregnant patients suffered obstetric or fetal complications, had higher ISS ( P &lt; .001), higher abbreviated injury scales (AIS) for thorax, abdomen, spine, lower extremities ( P &lt; .05), and lower gestational age ( P = .005). Age, Glasgow Coma Score (GCS), AIS Abdomen and Lower Extremity, and preterm pregnancy were predictive of adverse outcomes. Non-caucasian race, higher gestational age, and term pregnancy were predictive of labor during admission.<\/jats:p>","DOI":"10.1177\/00031348231174015","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T18:20:27Z","timestamp":1685038827000},"page":"3939-3941","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An Analysis of Outcomes After Trauma in Obstetric Patients"],"prefix":"10.1177","volume":"89","author":[{"given":"Danielle","family":"Hashmi","sequence":"first","affiliation":[{"name":"Crozer-Chester Medical Center, Upland, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7665-2775","authenticated-orcid":false,"given":"Michael","family":"Farrell","sequence":"additional","affiliation":[{"name":"Lehigh Valley Health Network, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Salbinski","sequence":"additional","affiliation":[{"name":"Lafayette College, Easton, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Cipolle","sequence":"additional","affiliation":[{"name":"Lehigh Valley Health Network, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Painter","sequence":"additional","affiliation":[{"name":"Lehigh Valley Health Network, Allentown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,25]]},"reference":[{"key":"bibr1-00031348231174015","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(15)30232-2"},{"key":"bibr2-00031348231174015","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.01.047"},{"issue":"1","key":"bibr3-00031348231174015","first-page":"90","volume":"71","author":"Fischer PE","year":"2011","journal-title":"J Trauma"},{"key":"bibr4-00031348231174015","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-035562"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231174015","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231174015","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231174015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:45Z","timestamp":1777379865000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231174015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,25]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/00031348231174015"],"URL":"https:\/\/doi.org\/10.1177\/00031348231174015","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,25]]}}}