بررسي اپيدميولوژيكي و باليني بيماران باردار دچار سوختگي پذيرش شده در مركز سوختگي شهيد مطهري تهران در سال هاي 82-1377

The Epidemiological and Clinical Assessment of Admitted Burned Pregnant Women in Shahid Mottahary Hospital Burn Center Between January 1998 and October 2003

Background and purpose: Treatments of burn pregnant women is a difficult task because the vulnerable fetus is highly dependent on the health of the mother. This study was conducted to determine the epidemiology, etiology, clinical assessment and outcome of pregnant patients between January 1998 and October 2003. Materials and Methods: A 6-year retrospective descriptive study of burns in pregnant women hospitalized at Mottahary hospital (burn center) in Tehran was performed. A short structured questionnaire was used to collect data. The questionnaire covered demographic information, etiology, clinical manifestations, and outcomes. Results: 74 (5%) of the 1480 women of reproductive age who were admitted for burn treatment during this period were pregnant. The mean age of 74 patients was 22.54 years (SD = 4.78) with a range of 16-35. The majority of the women (50%) were between 20 and 30 weeks of gestational age. The most common cause of burn was kerosene fire 52 (70%). Most of the women 50 (68%) suffered from severe burns with TIBC>40%. 49 (66%) mothers and 50 (67.5%) died as a result of the burn damages. Conclusion: Burn size, TIBC, follow up of clinical manifestations for pregnant women, fetus and performance of proportional treatment protocols were the strongest predictor of mortality for mother and fetus.