{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:59Z","timestamp":1787758499652,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Pregnant trauma patients are an underdescribed cohort in the medical literature. Noting injury patterns and contributors to mortality may lead to improved care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Female patients between 14 and 49 years of age were identified among entries in the 2017 National Trauma Data Bank. Data points were compared using Chi-square test, Fisher's exact test, Student's\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test, Mann\u2013Whitney rank-sum, or multiple logistic regression as appropriate.\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05 was used to determine the findings of significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 569 pregnant trauma patients identified, which was 0.54% of the 105,507 women identified. Overall, mortality was low among all women and not different between groups (1.2% for pregnant women vs. 2.2% for nonpregnant,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.12). Pregnant women with head injuries had a higher mortality rate than pregnant women without (4.2% vs. 0.47%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). Head injuries (Abbreviated Injury Severity Score [AIS] head &gt;1) were associated with an increased risk for mortality (odds ratio: 3.33, 95% confidence interval: 3.0\u20133.7,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There was no increase in mortality for trauma patients who are pregnant when controlling for covariates. Factors such as head injuries, the need for blood, and comorbid diseases appear to have a more significant contribution to mortality. We also report the prevalence of head, cervical spine, and extremity injuries in pregnant trauma patients. Multidisciplinary simulation, jointly crafted protocols, and expanding training in regional anesthesia may be the next steps to improving care for pregnant trauma patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jets.jets_176_20","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T23:47:26Z","timestamp":1669765646000},"page":"216-221","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Trauma in Obstetrical Patients"],"prefix":"10.4103","volume":"14","author":[{"given":"Ryan J.","family":"Keneally","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle L.","family":"Cyr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian","family":"Sherman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Vincent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Everett","family":"Chu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey S.","family":"Berger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan H.","family":"Chow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-6-20240828","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1097\/AOG.0000000000003585","article-title":"Guidance for evaluation and management of blunt abdominal trauma in pregnancy","volume":"134","author":"Greco","year":"2019","journal-title":"Obstet Gynecol"},{"key":"R2-6-20240828","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S1701-2163(15)30232-2","article-title":"Guidelines for the management of a pregnant trauma patient","volume":"37","author":"Jain","year":"2015","journal-title":"J Obstet Gynaecol Can"},{"key":"R3-6-20240828","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.jamcollsurg.2015.12.010","article-title":"Association between hospital trauma designation and maternal and neonatal outcomes after injury among pregnant women in Washington State","volume":"222","author":"Distelhorst","year":"2016","journal-title":"J Am Coll Surg"},{"key":"R4-6-20240828","doi-asserted-by":"crossref","first-page":"142","DOI":"10.4103\/IJCIIS.IJCIIS_17_17","article-title":"Hospital trauma level's association with outcomes for injured pregnant women and their neonates in Washington state, 1995-2012","volume":"7","author":"Distelhorst","year":"2017","journal-title":"Int J Crit Illn Inj Sci"},{"key":"R5-6-20240828","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/j.amjsurg.2017.07.003","article-title":"A 20-year review of pediatric pregnant trauma from a Level I trauma center","volume":"214","author":"Zakrison","year":"2017","journal-title":"Am J Surg"},{"key":"R6-6-20240828","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1001\/archsurg.1991.01410330033004","article-title":"Trauma in pregnancy. 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