Twenty-six traumatized pregnant patients were retrospectively analyzed over a nine year period. The average age was 23.7 years (16-42). Gestational age was 10-40 weeks (average 21.5 weeks), the majority (46.1%) being in the second trimester. The predominant mechanism (65.3%) was blunt abdominal trauma by automobile accident (collision or running over). During admission, eight (30.7%) patients showed hemodynamic alterations. Six patients (23.0%) showed vaginal bleeding and of these, four were hemodynamically normal. Median values of RTS and TRISS were also compared among the following groups: maternal-letal survival, maternal survival and maternal-fetal death. All pregnant women admitted with vaginal bleeding showed fetal death. Maternal mortality was caused by hemorrhagic shock in 11.5% of the cases. Fetal mortality occurred in 30.7% of the cases, and 37.5% of these were caused by maternal death. The main cause of the letal death (50.0%) was abruptio placentae. RTS and TRISS were significantly lower (p=0.0025 and p<0.0001) in the maternal-letal death group, but these scores presented no prognostic value for letal mortality.
Trauma; Pregnancy; Trauma Score; Mortality