Özlem ÖZGÜR GÜRSOY, Tuğrul KILIBOZ, Beycan DOĞAN, Kenan KARBEYAZ

Trauma during pregnancy: Assessment of cases from a forensic medical aspect

Evaluation of trauma during pregnancy puts forth a difference from other traumas in forensic medicine. The purpose of this study is to investigate forensic cases of trauma happened in pregnancy, share the findings with the literature and to scrutinize the legal procedures during this period. Applied trauma cases between 1stjanuary 2010 and 31st december 2019 were evaluated retrospectively by forensic medicine clinic of EskişehirOsmangazi University Medical Faculty . Of these cases, pregnant women were included to the study. Data including age, pregnancy week, origin of the event, physical findings of the trauma, effects of the trauma to the pregnancy outcome and whether radiologic examination could be done, were interpret. 174 trauma cases were perused in this scope of the study. Of these, 61 (35.1%) were subjected to violence, 113 traumas (64.9%) were due to accident. 6 (3.4%) pregnant women had lethal injury, 45 cases (25.9%) needed stationary treatment and 3 had pregnancy loss due to trauma. Our findings were concordant with the literature. Effects of trauma on fetus should be determined by the clinical evaluation of the documents recorded during obstetric follow-up in the hospital. Forensically, estimation of the effects of trauma on the pregnancy outcome should be determined by studying collaboratively with the other medical sciences especially obstetrics and gynecology.

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1. Türk Ceza Kanunu, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5237. pdf accesses date. 09.09.2020

2. Mihmanlı V, Karahisar G. Gebelikte travma. Şişli Etfal Tıp Bülteni. 2012;46:225-31.

3. Gezginç K, Göktepe H. Gebelikte travmaya yaklaşım. Selçuk Üniv Tıp Derg. 2011;27:250-4.

4. Kuo C, Jamieson DJ, McPheeters ML, et al. Injury hospitalizations of pregnant women in the United States. Am J Obstet Gynecol. 2007;196:161- 4.

5. Özgün MT, Batukan C, Başbuğ M. Nonobstetrik akut batın ve gebelikte fiziksel travma. Türkiye Klinikleri Cerrahi Tıp Bilimleri Dergisi. 2006;2:19- 24.

6. El Kady D, Gilbert WM, Anderson J, et al. Trauma during pregnancy: an analysis of maternal and fetal outcomes in a large population. Am J Obstet Gynecol. 2004;190:1661-8.

7. Mirza FG, Devine PC, Gaddipati S. Trauma in pregnancy: a systematic approach. Am J Perinatol. 2010;27:579-86.

8. American College of Obstetricians and Gynocologists. Guidelines for diagnostic imaging during pregnancy. Am Coll Obstet Gynocol. 2004;104:647-51.

9. Bernstein MP. Imaging of traumatic injuries in pregnancy. Am Roentgen Radio Soc. 2008;2:203-10.

10. Patel SJ, Reede D, Katz DS, et al. Imaging the pregnant patient for nonobstetric conditions: algorithms and radiation dose considerations. Radiographic. 2007;27:1705-22.

11. Cenger CD, Göçeoğlu ÜÜ, Özbek BY, ve ark. Travma sonrası erken gebelik kaybı: olgu sunumu. Med J Suleyman Demirel Uni. 2018;25:194-8.

12. Muench MV, Canterino JC. Trauma in pregnancy. Obstet Gynecol Clin North Am. 2007;34:555-83.

13. Poole GV, Martin Jr JN, Perry Jr KG, et al. Trauma in pregnancy: the role of interpersonal violence. American J Obstet Gynecol. 1996;174:1873-8.

14. Pearlman MD. Motor vehicle crashes, pregnancy loss andpreterm labor. Int J Gynecol Obstet. 1997;57:127–32.

15. Silverman JG, Balaiah D, Decker MR, et al. Family violence and maltreatment of women during the perinatal period: associations with infant morbidity in Indian slum communities. Matern Child Health J. 2016;20:14957.

16. Field S, Onah M, van Heyningen T, et al. Domestic and intimate partner violence among pregnant women in a low resource setting in South Africa: a facility-based, mixed methods study. BMC Women's Health, 2018;18:119.

17. Orpin J, Papadopoulos C, Puthussery S. The prevalence of domestic violence among pregnant women in Nigeria: a systematic review. Trauma Violence Abuse. 2020;21:3-15.

18. Matseke G, Peltzer K, Mlambo G. Partner violence and associated factors among pregnant women in Nkangala district, Mpumalanga. S African J Obstet Gynecol. 2012;18,77–81.

19. Onoh RC, Umeora OUJ, Ezeonu PO, et al. Prevalence, pattern and consequences of intimate partner violence during pregnancy at Abakaliki Southeast Nigeria. Ann Med Health Sci Res. 2013;3:484-91.

20. Sarkar NN. The impact of intimate partner violence on women’s reproductive health and pregnancy outcome. J Obstet Gynecol. 2008;28:266–71.

21. Devries MK, Kishor S, Johnson H, et al. Intimate partner violence during pregnancy: Analysis of prevalence data from 19 countries. Reproduct Health Matt. 2010;18:158–70.

22. Karbeyaz K, Yetiş Y, Güneş A, et al. Intimate partner femicide in Eskisehir, Turkey 25 years analysis. J Forensic Leg Med. 2018;60:56-60.

23. Parker B, McFarlane J, Soeken K. Abuse during pregnancy: effects on maternal complications and birth weight in adult and teenage women. Obstet Gynecol. 1994;84:323-8.