alexa Abstract | Blunt Abdominal Trauma during Pregnancy in Nigeria: Causes, Obstetric Complications and Pregnancy Outcome

Trauma & Acute Care
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article Open Access


Background: Trauma is a major cause of morbidity and mortality worldwide. It is among the commonest reason for admission to Accident and Emergency (A&E) Department of the University of Calabar Teaching Hospital (UCTH) Calabar, Nigeria. The pregnant woman is highly vulnerable to trauma with possible injuries to mother and foetus. Such usually evokes great concern. Reports on blunt abdominal trauma during pregnancy in Nigeria are scanty, probably due to the scarcity of trained emergency physicians and trauma surgeons. Aim: This 3 year prospective study aimed at establishing the common causes, obstetric complications and pregnancy outcome in blunt abdominal trauma during pregnancy in the south-south geopolitical zone of Nigeria. Methodology: This was 3 year (March 1 20011 to Feb.28, 2013) the records of all trauma cases admitted into the A and E department of the UCTH, Calabar were prospectively collected. Demographic data, mechanism of trauma, injury severity, management, obstetric complications and pregnancy outcome for pregnant women with blunt abdominal trauma were extracted onto a proforma designed for the study. Pregnancy outcome was regarded as successful if it was carried to term or delivered of live baby with no consequent ill effects traceable to the trauma. The results are presented and discussed. Results: A total of 12488 patients were admitted to the A&E department during the study period. Trauma accounted for 42.0% (5245 patients), of which 0.38% (20) were pregnant women with blunt abdominal trauma. The women were aged 17-40 years. The gestational ages ranged from 8-38 weeks. Thirty-five (65.0%) and 7 (35.0) were booked and unbooked cases respectively. They were 4, 11, and 5 in the 1st, 2nd and 3rd trimester respectively. The mechanism of injury included assaults, road traffic accidents, and falls. Assaults constituted 11 (55.0%), road traffic accidents 7 (35.0%) and domestic falls 2 (10.0%). Fifteen (75.0%) had injury severity score (ISS) <9. The RTA victims had associated injuries, which included bruises, superficial lacerations, one closed left humeral fracture and a red eye. Most patients presented within 6 h and 1>72 hours from time of trauma. Management approach was multidisciplinary. All patients were monitored for at least 24 h before discharged. The main obstetric complications were premature uterine contractions, vaginal bleeding, foetal distress preterm delivery and 1 intrauterine death (IUD). One patient had emergency Caesarean section due to severe foetal distress. The IUD was recorded in a patient at 34 weeks gestation discharged after 24 hours of monitoring with no discernible risk to mother and foetus. Two patients were lost to followup and 17 (85.0%) had successful pregnancy outcome. There was no maternal death. Conclusions: Assault was the most common mechanism of trauma. The excellent outcome notwithstanding our A&E department requires upgrading to possess modern facilities for foeto-maternal monitoring and trained emergency physicians are needed to improve the emergency services especially to the most vulnerable patients like the pregnant women with trauma.

To read the full article Peer-reviewed Article PDF image

Author(s): Umoh MS Japhet E Udoukpong EA Oku OE and Ekanem EI


lunt trauma, Abdomen, Pregnancy causes, Complication and outcome, Traumatic Grief, Traumatic Shock, Psychological Trauma

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us