Gebelikte Travma ve Yönetimi

Öz

Gebelikte travma yaşamı tehdit eden bir durum olup obstetrik olmayan ölümlerin önde gelen nedenlerinden biridir. Gebelikte travma önemli bir halk sağlığı sorunudur. Yaklaşık on iki gebeden biri travmaya maruz kalmaktadır. Gebelikte travmanın en sık rapor edildiği dönem üçüncü trimesterdir. Gebelikte hormonal değişiklikler nedeniyle kas-iskelet sistemi özellikleri değişerek yumuşak doku yaralanma riski artmaktadır. Ayrıca gebelikte karın bölgesi penetran ve çoğunlukla künt olmak üzere travmalara maruz kalmaktadır. Bu durum morbidite ve mortalite açısından ciddi sonuçlar doğurur. Gebelikte meydana gelen travmaların olumsuz maternal ve neonatal sonuçları nedeniyle travmaların önlenmesi çok önemlidir. Gebelikte travma vakaları yönetimi zor olduğundan hem anne hem de fetüsün sağlığı için multidisipliner olarak çalışılmalıdır. Sağlık profesyonelleri gebelikte oluşan travmanın yönetimi için hem gebelikte oluşan anatomik ve fizyolojik değişiklikler hem de travmaların etkin şekilde yönetimi konusunda bilgi sahibi olmalıdır.

Anahtar Kelimeler

• Gebelik
• travma
• batın travması
• yanık

Trauma in Pregnancy and Its Management

Öz

Trauma during pregnancy is a life-threatening condition and one of the leading causes of non-obstetric deaths. Trauma during pregnancy is an important public health problem. Approximately one in twelve pregnant women is exposed to trauma. The most frequently reported period of trauma during pregnancy is the the third trimester. Due to hormonal changes during pregnancy, the musculoskeletal system characteristics change and the risk of soft tissue injury increases. In addition, the abdominal region is exposed to penetrating and mostly blunt traumas during pregnancy. This situation has serious consequences in terms of morbidity and mortality. It is very important to prevent traumas due to negative maternal and neonatal consequences of traumas during pregnancy. Since the management of trauma cases during pregnancy is difficult, multidisciplinary work should be done for the health of both mother and fetus. Health professionals should have knowledge about both the anatomical and physiological changes that occur during pregnancy and the effective management of traumas for the management of trauma during pregnancy.

Anahtar Kelimeler

• Pregnancy
• trauma
• abdominal trauma
• burn

Kaynakça

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