Gebelikte Travma Cerrahisi ve Ebelik Bakımı
Özet
Travma vakaları içerisinde dikkatle yönetilmesi gereken özel popülasyonlardan biri gebe travma vakalarıdır. Gebelik, travmatik olaylara bağlı ölüm oranını 1,6 kat daha artırmaktadır. Gebelikte travmatik yaralanmalar genel olarak künt travma, penetran travma, motorlu taşıt kazaları, düşmeler, aile içi şiddet sonrasında meydana gelen yaralanmalar ve yanıklar olarak değerlendirilebilir. Gebelikteki fizyolojik düzenlemeler, anne ve fetüsün travmaya verdiği patofizyolojik tepkiler üzerinde önemli bir etkiye sahip olabilir. Gebe hastalarda travma yönetimi, travmanın ciddiyetine ve gebelik haftasına göre belirlenir. Gebelikte travma yönetiminde multidisipliner ekip tarafından sağlanan ortak yönetim, gebe travma mağduru ve fetüsünün uygun bakımını sağlamak açısından çok önemlidir.
Referanslar
Carr H, Jones R. Trauma in the obstetric patient. Critical Care Nursing Clinics of North America. 2023;35(2):213-222. doi: 10.1016/j.cnc.2023.02.012.
Sakamoto J, Michels C, Eisfelder B, et al. Trauma in pregnancy. Emergency Medicine Clinics of North America. 2019; 37: 317–338. doi.org:10.1016/j.emc.2019.01.009.
Deshpande NA, Kucirka LM, Smith RN, et al. Pregnant trauma victims experience nearly 2-fold higher mortality compared to their nonpregnant counterparts. American Journal of Obstetrics and Gynecology. 2017;217(5): 590.e1-590.e9. doi: 10.1016/j.ajog.2017.08.004.
Mehraban SS, Lagodka S, Kydd J, Mehraban S, Cabbad M, Chendrasekhar A, Lakhi NA. Predictive risk factors of adverse perinatal outcomes following blunt abdominal trauma in pregnancy. Journal of Maternal-Fetal and Neonatal Medicine. 2022; 35(25): 8929-8935. doi: 10.1080/14767058.2021.2007876.
Maxwell BG, Greenlaw A, Smith WJ, et al. Pregnant trauma patients may be at increased risk of mortality compared to nonpregnant women of reproductive age: trends and outcomes over 10 years at a level I trauma center. Womens Health. 2020;16: 1745506520933021. doi: 10.1177/1745506520933021.
Mendez-Figueroa H, Dahlke JD, Vrees RA, Rouse DJ. Trauma in pregnancy: an updated systematic review. American Journal of Obstetrics and Gynecology. 2013;209(1):1-10. doi: 10.1016/j.ajog.2013.01.021.
Dalton S, Stamilio D, Sakowicz A, et al. Association between timing of major trauma in pregnancy and adverse outcomes related to placental dysfuncion. American Journal of Obstetrics and Gynecology. 2022; 226(1): S533–534. doi: 10.1016/j.ajog.2021.11.881.
Berthelot N, Ensink K, Bernazzani O, et al. Intergenerational transmission of attachment in abused and neglected mothers: the role of trauma-specific reflective functioning. Infant Ment Health Journal. 2015; 36(2):200-12 doi: 10.1002/imhj.21499.
Schellenberg, M., Polk, T.M. Trauma and Surgical Management During Pregnancy. In: Nezhat, C., Kavic, M., Lanzafame, R., Lindsay, M., Polk, T. (eds) Non-Obstetric Surgery During Pregnancy. 2019. Cham: Springer. doi.org:10.1007/978-3-319-90752-9.
Petrone P, Jimenez-Morillas P, Axelrad A, et al. Traumatic injuries to the pregnant patient: a critical literature review. European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society. 2019;45(3): 383-392. doi: 10.1007/s00068-017-0839-x.
Huls CK, Detlefs C. Trauma in pregnancy. Seminars in Perinatology. 2018; 42:13-20. doi:10.1053/j.semperi.2017.11.004.
Greaves I, Porter K, Garner J. Trauma Care Manual. 3rd ed. Abingdon: CRC Press; 2022. pp. 11–19.
Varma D, Brown P, Clements W. Importance of the mechanism of ınjury in trauma radiology decision-making. Korean Journal of Radiology. 2023; 24(6): 522-528. doi: 10.3348/kjr.2022.0966.
Talley, C.L., Edwards, A., Wallace, P. et al. Epidemiology of trauma in pregnancy. Current Trauma Reports. 2018; 4: 205–210. doi.org:10.1007/s40719-018-0132-4.
Rossi, R., Gei, A.F. and Van Hook, J.W. Trauma in Pregnancy. In: J.P. Phelan, L.D. Pacheco, M.R. Foley, G.R. Saade, G.A. Dildy and M.A. Belfort (eds.) Critical Care Obstetrics. John Wiley & Sons Ltd. 2019. p. 891-917 doi.org:10.1002/9781119129400.ch52.
Jain V, Chari R, Maslovitz S, et al. Guidelines for the management of a pregnant trauma patient. Journal of Obstetrics and Gynaecology Canada: JOGC. 2015;37(6):553-574. doi: 10.1016/s1701-2163(15)30232-2.
Pavey AR, Gorman GH, Kuehn D, et al. Intimate partner violence increases adverse outcomes at birth and in early infancy. The Journal of Pediatrics. 2014;165(5):1034-1039. doi: 10.1016/j.jpeds.2014.06.060.
Schwaitzberg SD., Newton ER. Trauma and Pregnancy. In: Isaacs C. (eds.), Overview, Maternal-Fetal Physiology, Maternal Trauma and the Fetus. 2021. https://emedicine.medscape.com/article/435224-overview
Grande, CV., Melo, LL., Jucá Moscardi, MF., et al. Traumatic Brain Injury. In: Nasr, A., Saavedra Tomasich, F., Collaço, I., Abreu, P., Namias, N., Marttos, A. (eds) The Trauma Golden Hour. 2020. Springer, Cham. https://doi.org/10.1007/978-3-030-26443-7_10.
Szuflita, NS., Boulter, JH., Gilhooly, JE., et al. Neurosurgery During Pregnancy. In: Nezhat, C., Kavic, M., Lanzafame, R., Lindsay, M., Polk, T. (eds) Non-Obstetric Surgery During Pregnancy. 2019. Springer, Cham. https://doi.org/10.1007/978-3-319-90752-9_18,).
McGoldrick DM, Fragoso-Iñiguez M, Lawrence T, et al. Maxillofacial injuries in patients with major trauma. The British Journal of Oral & Maxillofacial Surgery. 2018; 56(6): 496–500. doi:10.1016/j.bjoms.2018.04.001.
Le BT, Dierks EJ, Ueeck BA, et al. Maxillofacial injuries associated with domestic violence. Journal of Oral & Maxillofacial Surgery. 2001; 59:1277–1283. doi.org:10.1053/joms.2001.27490.
McCrum, ML., Evans, HL. Surgical Strategies in Trauma to the Head, Face, and Neck. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Heidelberg: Springer; 2017. https://doi.org/10.1007/978-3-662-49859-0_26.
Tweddale CJ. Trauma during pregnancy. Critical Care Nursing Quarterly. 2006;29(1):53-67; 68-69. doi: 10.1097/00002727-200601000-00005.
Townsley DM. Hematologic complications of pregnancy. Seminars in Hematology. 2013; 50(3): 222-31. doi:10.1053/j.seminhematol.2013.06.004.
James D, Steer P, Weiner C, et al. Pregnancy and laboratory studies: a reference table for clinicians. Obstetrics and Gynecology. 2010;115(4):868. doi: 10.1097/AOG.0b013e3181d7131e.
Charbit B, Mandelbrot L, Samain E, et al. The decrease of fibrinogen is an early predictor of the severity of postpartum hemorrhage. Journal of Thrombosis and Haemostasis: JTH. 2007;5(2):266-273. doi: 10.1111/j.1538-7836.2007.02297.x.
Fung KFK, Eason E. Prevention of Rh alloimmunization. Journal of Obstetrics and Gynaecology Canada: JOGC. 2018; 40(1): e1-e10. doi: 10.1016/j.jogc.2017.11.007.
Karafin MS, Glisch C, Souers RJ, et al. Use of fetal hemoglobin quantitation for Rh-positive pregnant females: A national survey and review of the literature. Archives of Pathology & Laboratory Medicine. 2019;143(12):1539-1544. doi: 10.5858/arpa.2018-0523-CP.
Mofidi M, Hasani A, Kianmehr N. Determining the accuracy of base deficit in diagnosis of intra-abdominal injury in patients with blunt abdominal trauma. The American Journal of Emergency Medicine. 2010;28(8):933-936. doi: 10.1016/j.ajem.2009.06.002.
National Council on Radiation Protection and Measurements. Medical Radiation Exposure of Pregnant and Potentially Pregnant Women. Report no.54. Bethesda, MD: National Council on Radiation Protection and Measurements; 1977
ACOG Committee on Obstetric Practice. ACOG Committee Opinion #299:Guidelines for diagnostic imaging during pregnancy. Obstetrics and Gynecology. 2004; 104:647-651
Marsh RM, Silosky M. Patient shielding in diagnostic ımaging: Discontinuing a legacy practice. AJR. American Journal of Roentgenology. 2019;212(4):755-757. doi: 10.2214/AJR.18.20508.
Blackbourne LH, Soffer D, McKenney M, et al. Secondary ultrasound examination increases the sensitivity of the FAST exam in blunt trauma. The Journal of Trauma. 2004; 57(5): 934-938. doi: 10.1097/01.ta.0000149494.40478.e4.
Stengel D, Leisterer J, Ferrada P, et al. Point-of-care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma. Cochrane Database Systematic Reviews. 2018; 12(12): CD012669. doi: 10.1002/14651858.CD012669.pub2.
Saphier NB, Kopelman TR. Traumatic Abruptio Placenta Scale (TAPS): A proposed grading system of computed tomography evaluation of placental abruption in the trauma patient. Emergency Radiology. 2014;21(1):17-22. doi: 10.1007/s10140-013-1155-3.
Kopelman TR, Berardoni NE, Manriquez M, et al. The ability of computed tomography to diagnose placental abruption in the trauma patient. The Journal of Trauma and Acute Care Surgery. 2013;74(1):236-41. doi: 10.1097/TA.0b013e318278937b.
Greco PS, Day LJ, Pearlman MD. Guidance for evaluation and management of blunt abdominal trauma in pregnancy. Obstetrics and Gynecology. 2019; 134(6): 1343-1357. doi: 10.1097/AOG.0000000000003585.
Raja AS, Zabbo CP. Trauma in pregnancy. Emergency Medicine Clinics of North America. 2012;30(4):937-948. doi: 10.1016/j.emc.2012.08.003.
Rudra A, Chatterjee S, Sengupta S, et al. Amniotic fluid embolism. Indian Journal of Critical Care Medicine. 2009;13(3):129-135. doi: 10.4103/0972-5229.58537.
Sperry JL, Casey BM, McIntire DD, et al. Long-term fetal outcomes in pregnant trauma patients. American Journal of Surgery. 2006;192(6):715-721. doi: 10.1016/j.amjsurg.2006.08.032.
Liu PL, Warren TM, Ostheimer GW. Foetal monitoring parturients undergoing surgery unrelated to pregnancy. Canadian Anaesthetists' Society Journal. 1985; 32 (5): 525-532. doi: 10.1007/BF03010803.
Einav S, Kaufman N, Sela HY. Maternal cardiac arrest and perimortem caesarean delivery: evidence or expert-based? Resuscitation. 2012;83(10):1191-200. doi: 10.1016/j.resuscitation.2012.05.005.
Benson MD, Padovano A, Bourjeily G, et al. Maternal collapse: Challenging the four-minute rule. EBioMedicine. 2016;6:253-257. doi: 10.1016/j.ebiom.2016.02.042.
Menon, R., Irving, T. Trauma in Pregnancy. In: Lax, P. (eds) Textbook of Acute Trauma Care. Cham: Springer; 2022. https://doi.org/10.1007/978-3-030-83628-3_35
Smith JA, Sosulski A, Eskander R, et al. Implementation of a multidisciplinary perinatal emergency response team improves time to definitive obstetrical evaluation and fetal assessment. The Journal of Trauma and Acute Care Surgery. 2020;88(5):615-618. doi: 10.1097/TA.0000000000002615.
Lopez CE, Salloum J, Varon AJ, et al. The management of pregnant trauma patients: A narrative review. Anesthesia and Analgesia. 2023;136(5):830-840. doi: 10.1213/ANE.0000000000006363.
Bilgin, H., Özyurt, G., Aksu, H., vd. Krikoide basınç nasıl öğretilmeli?. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 2009; 35(1): 1-5.
ATLS Subcommittee; American College of Surgeons’ Committee on Trauma; International ATLS working group. Advanced trauma life support (ATLS®): the ninth edition. The Journal of Trauma and Acute Care Surgery. 2013;74(5):1363-1366. doi: 10.1097/TA.0b013e31828b82f5.
Tibbott, J., Di Carlofelice, M., Menon, R., & Ciantar, E. Trauma and pregnancy. The Obstetrician & Gynaecologist, 2021;23(4), 258-264. doi:10.1111/tog.12769.
Bobrowski RA. Pulmonary physiology in pregnancy. Clinical Obstetrics and Gynecology. 2010; 53(2): 285-300. doi: 10.1097/GRF.0b013e3181e04776.
Higuchi H, Takagi S, Zhang K, et al. Effect of lateral tilt angle on the volume of the abdominal aorta and inferior vena cava in pregnant and nonpregnant women determined by magnetic resonance imaging. Anesthesiology. 2015;122(2):286-93. doi: 10.1097/ALN.0000000000000553.
Wilkerson, RG., Yuan, S., Windsor, TA., et al. Trauma in pregnancy: a comprehensive overview. Trauma Reports, 2020;21(3):1-15.
Brown S, Mozurkewich E. Trauma during pregnancy. Obstetrics and Gynecology Clinics of North America. 2013;40(1):47-57. doi: 10.1016/j.ogc.2012.11.004.
Cantle PM, Cotton BA. Balanced resuscitation in trauma management. The Surgical Clinics of North America. 2017; 97(5): 999-1014. doi: 10.1016/j.suc.2017.06.002.
Andrews J, Josephson CD, Young P, et al.. Weighing the risk of hemolytic disease of the newborn versus the benefits of using of RhD-positive blood products in trauma. Transfusion. 2023;63 Suppl 3:4-9. doi: 10.1111/trf.17352.
Morris S, Stacey M. Resuscitation in pregnancy. BMJ. 2003; 29;327(7426):1277-1279. doi: 10.1136/bmj.327.7426.1277.
Katz V, Balderston K, DeFreest M. Perimortem cesarean delivery: were our assumptions correct? American Journal of Obstetrics and Gynecology. 2005;192(6):1916-1920. doi: 10.1016/j.ajog.2005.02.038.
MacArthur B, Foley M, Gray K, et al. Trauma in pregnancy: A comprehensive approach to the mother and fetus. American Journal of Obstetrics and Gynecology. 2019;220(5):465-468. doi: 10.1016/j.ajog.2019.01.209.
Jha P, Melendres G, Bijan B, et al. Trauma in pregnant women: assessing detection of post-traumatic placental abruption on contrast-enhanced CT versus ultrasound. Abdominal Radiology. 2017;42(4):1062-1067. doi: 10.1007/s00261-016-0970-x.
Buvanendran A, Kroin JS. Multimodal analgesia for controlling acute postoperative pain. Current Opinion in Anaesthesiology. 2009;22(5):588-593. doi: 10.1097/ACO.0b013e328330373a.
Benson MD, Padovano A, Bourjeily G, et al. Maternal collapse: Challenging the four-minute rule. EBioMedicine. 2016; 6: 253-257. doi: 10.1016/j.ebiom.2016.02.042.
Kilpatrick SJ, Manaker S, Moreira ME. Initial evaluation and management of major trauma in pregnancy. UpToDate, 2023. https://www.uptodate.com/contents/initial-evaluation-and-management-of-major-trauma-in-pregnancy#H28, (Erişim Tarihi: 10.11.2023).
Metz TD, Abbott JT. Uterine trauma in pregnancy after motor vehicle crashes with airbag deployment: A 30-case series. The Journal of Trauma. 2006;61(3):658-661. doi: 10.1097/01.ta.0000209599.76059.06.
Bushman ET, Theilen LH, Monson M, et al. Effect of blood contamination on amniotic fluid detection in vitro using immunoassays. The Journal of Maternal-fetal & Neonatal Medicine. 2020;33(17):2909-2912. doi: 10.1080/14767058.2018.1564027.
Sağlığı, H., & Müdürlüğü, G. Acil obstetrik bakım yönetim rehberi. Ankara: T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Kadın ve Üreme Sağlığı Dairesi Başkanlığı, 2022.
Sadro CT, Zins AM, Debiec K, et al. Case report: lethal fetal head injury and placental abruption in a pregnant trauma patient. Emergency Radiology. 2012;19(2):175-80. doi: 10.1007/s10140-011-1017-9.
Argent LD, Verelst S, Sabbe M (2020) Management of the pregnant trauma patient: A literature study. Open Journal of Trauma. 2020;4(1): 038-046. doi:10.17352/ojt.000031.
Cingillioglu B, Mihmanli V. High energy trauma and pregnancy. Okmeydani Medical Journal. 2017; 33:70−77. doi:10.5222/otd.2017.070.
Hill CC, Pickinpaugh J. Physiologic changes in pregnancy. The Surgical clinics of North America. 2008; 88(2): 391-401. doi: 10.1016/j.suc.2007.12.005.
Einav S, Sela HY, Weiniger CF. Management and outcomes of trauma during pregnancy. Anesthesiology Clinics. 2013;31(1):141-156. doi: 10.1016/j.anclin.2012.10.002.
Higgins SD, Garite TJ. Late abruptio placenta in trauma patients: implications for monitoring. Obstetrics and Gynecology. 1984;63(3 Suppl):10S-12S.
Sisay Woldeyes W, Amenu D, Segni H. Uterine rupture in pregnancy following fall from a motorcycle: A horrid accident in pregnancy-a case report and review of the literature. Case Reports in Obstetrics and Gynecology. 2015;2015:715180. doi: 10.1155/2015/715180.
Oxford CM, Ludmir J. Trauma in pregnancy. Clinical Obstetrics and Gynecology. 2009;52(4):611-629. doi: 10.1097/GRF.0b013e3181c11edf.
Battaloglu E, Battaloglu E, Chu J, & Porter K. Obstetrics in trauma. Trauma. 2015;17(1):17-23.
Brown HL. Trauma in pregnancy. Obstetrics and Gynecology. 2009;114(1):147-160. doi: 10.1097/AOG.0b013e3181ab6014.
Rangel-Flores, Y. Y., Rincón-Zúñiga, D. T., & Hernández-Ibarra, L. E. The lived experience of the obstetric emergency: a phenomenological study with Mexican women. Saúde e Sociedade, 2022;31.
Panzeri A, Bettinardi O, Bottesi G, et al. Assessment of perceived support in the context of emergency: Development and validation of the psycho-social support scale. Current Psychology. 2022; 26:1-12. doi: 10.1007/s12144-022-03344-z.
O’Connor RC, Shakib K, Brennan PA. Recent advances in the management of oral and maxillofacial trauma. The British Journal of Oral & Maxillofacial Surgery. 2015; 53:913. doi:10.1016/j.bjoms.2015.08.261.
Sadr-Eshkevari, P, Meyer, R.A, Bohluli B, et al. Oral and Maxillofacial Surgery for the Pregnant Patient. In: Nezhat, C., Kavic, M., Lanzafame, R., Lindsay, M., Polk, T. (eds) Non-Obstetric Surgery During Pregnancy. Cham: Springer, Cham. 2019. doi:10.1007/978-3-319-90752-9_20.
Mowery N, Gunter, O. Management of hemothorax and occult pneumothorax. The Journal of Trauma. 2011;(2):510–518.