Gebelikte Travma

Yıl 2024, Cilt: 4 Sayı: 3, 107 - 114, 27.12.2024

Resmiye Özdilek , Yasemin Dinçel

Öz

Gebelikte travma hem annenin hem de fetüsün hayatını tehlikeye sokan ve obstetrik dışı maternal ölümlerin önde gelen nedenlerinden olan bir durumdur. Gebelikte travma nedenlerinin ve maternal-fetal etkilenmenin retrospektif olarak incelenmesi amaçlandı. Tanımlayıcı tipte gerçekleştirilen çalışmada retrospektif olarak acil servise kabul edilen hasta kayıtları incelendi. Araştırma gerekli etik kurul ve yazılı kurum izinleri alındıktan sonra Haziran-Ağustos 2023 tarihleri arasında yapıldı. Araştırma verisi olarak ilgili hastanenin arşivinde bulunan 2021-2022 verileri incelendi. Araştırma dahil edilme kriterlerine uyan 235 gebe ile tamamlandı. Verilerin analizinde tanımlayıcı istatistik yöntemler kullanılmıştır. 2021-2022 yılları arasında hastanenin acil servisine kayıtlı 235 gebenin yaş ortalaması 26,11±4,84 (min:18; maks:40) gestasyonel hafta ortalaması 23,31±9,86 (min:5; maks:40) olarak belirlendi. Gebelerin %80,4’ünün düşme, %10,2’sinin darp nedeniyle başvuruda bulunduğu, düşme travması ile başvuran gebelerin, %78,1’inin düz zemin, %10,2’sinin yüksek yerden düştüğü belirlendi. Travma nedeniyle en sık yaralanan vücut bölgesinin abdomen (%33,2) olduğu, katılımcıların %97,4’ünde fetal kap atımının etkilenmediği saptandı. Araştırmada, gebelerde travma türlerinden en sık düz zeminde düşmenin yaşandığı belirlendi. Gebelerin değişen anatomi ve fizyolojilerinin, travmaya yol açabileceği ihtimalinin ebe ve hemşireler tarafından doğum öncesi izlemlerde vurgulanması önemlidir.

Anahtar Kelimeler

Gebelik, Kazara düşme, Travma, Yaralanma.

Trauma in Pregnancy

Öz

Trauma during pregnancy is a situation that endangers the lives of both the mother and the fetus and is one of the leading causes of non-obstetric maternal deaths. It was aimed to retrospectively evaluate the causes of trauma during pregnancy and maternal-fetal effects. In this descriptive study, the records of patients admitted to the emergency room were retrospectively examined. The research was conducted between June-August 2023 after obtaining the necessary ethics committee and written institutional permissions. The 2021-2022 data in the archives of the relevant hospital were examined as research data. The research was completed with 235 pregnant women who met the inclusion criteria. Descriptive statistics methods were used in the analysis of the data. The average age of 235 pregnant women registered in the hospital's emergency department between 2021-2022 was determined as 26.11±4.84 (min: 18; max: 40) and the average gestational week was determined as 23.31±9.86 (min: 5; max: 40). It was determined that 80.4% of the pregnant women applied due to falls, 10.2% due to assault, and 78.1% of the pregnant women applied with fall trauma fell on a flat surface and 10.2% fell from a high place. It was determined that the most frequently injured body part due to trauma was the abdomen (33.2%), and the fetal heart rate was not affected in 97.4% of the participants. In the study, it was determined that falling on a flat surface was the most common type of trauma in pregnant women. It is important that midwives and nurses emphasize the possibility that the changing anatomy and physiology of pregnant women may lead to trauma during prenatal follow-ups.

Anahtar Kelimeler

Pregnancy, Accidental fall, Trauma, Injurie

Etik Beyan

Bu çalışma için etik kurul onayı, Kocaeli Üniversitesi Tıp Fakültesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan alınmıştır (Tarih: 16.01.2023 ve Karar No: GOKAEK-2023/01.08).

Destekleyen Kurum

Finansal destek alınmamıştır.

Teşekkür

Yok.

Kaynakça

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