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Peer-reviewedCC BY-NCInternational journal of women's health

Analysis of Trauma in Pregnancy in the State's Only Adult Level I Trauma Center.

  • Brianna Claire Hope1
  • Songthip Ounpraseuth2
  • Sophia Tyrer1
  • Meghana Chithirala1
  • Michael P Wendel1
  • Everett F Magann1
  1. 1Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
  2. 2Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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Abstract

Objective

Trauma in pregnancy is an important determinate of maternal/perinatal morbidity and mortality. The study purpose is to evaluate all pregnant trauma patients presenting to the state's primary trauma center to develop a better understanding of the influence of trauma on pregnancy and identify improvement areas in maternal/perinatal outcomes.Methods

This is a retrospective study of all pregnant women who presented with documented trauma and on whom we had delivery information on mother and neonate from January 2015 through December 2022. Demographic and clinical characteristics, type of trauma, trauma-related outcomes, disposition, and mode of delivery were collected. Results are reported as odds ratios (ORs) with 95% confidence intervals (CIs), and statistical significance was defined as p-value less than 0.05.Results

There were 1143 patients identified. Mechanism of injury included falls (n=479, 41.91%), motor vehicle accidents (MVAs; n=464, 40.59%), assault (n=164, 14.35%) and other (n=164, 14.35%). Among patients kept for observation, the largest percentage followed MVA (n=131, 28.2%). Delivery was directly related to trauma in 28 pregnancies (2.45%). Overall, 147 neonates required NICU admission (12.88%), 27 required transport to higher-level of care (2.37%), and 26 deliveries resulted in stillbirth/neonatal demise (2.28%). After gestational-age group adjustment at the time of trauma, MVAs were associated with higher odds of trauma-related delivery (adjOR 8.00, 95% CI 2.59-24.72) and trauma-related complications (adjOR 7.24, 95% CI 2.90-18.07) compared with falls. Assault was associated with higher odds of trauma-related complications (adjOR 4.25, 95% CI 1.28-14.18), neonatal complications (adjOR 1.62, 95% CI 1.03-2.56), and NICU admission (adjOR 1.75, 95% CI 1.05-2.90) compared to falls.Conclusions

Study results are consistent with published literature, demonstrating that a small subset will develop significant maternal/perinatal complications. This study supports the assumption that while most patients may be safely managed expectantly, those with higher-energy mechanisms may warrant increased clinical vigilance and potentially extended monitoring.

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Cite

BibTeXRIS
BibTeX
@article{hope2026analysis,
  title = {{Analysis of Trauma in Pregnancy in the State's Only Adult Level I Trauma Center.}},
  author = {Brianna Claire Hope and Songthip Ounpraseuth and Sophia Tyrer and Meghana Chithirala and Michael P Wendel and Everett F Magann},
  journal = {International journal of women's health},
  year = {2026},
  month = oct,
  doi = {10.2147/ijwh.s642852},
  url = {https://europepmc.org/article/MED/42928847},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Analysis of Trauma in Pregnancy in the State's Only Adult Level I Trauma Center.
AU  - Brianna Claire Hope
AU  - Songthip Ounpraseuth
AU  - Sophia Tyrer
AU  - Meghana Chithirala
AU  - Michael P Wendel
AU  - Everett F Magann
PY  - 2026
DA  - 2026/10/21
JO  - International journal of women's health
DO  - 10.2147/ijwh.s642852
UR  - https://europepmc.org/article/MED/42928847
AB  - Objective  Trauma in pregnancy is an important determinate of maternal/perinatal morbidity and mortality. The study purpose is to evaluate all pregnant trauma patients presenting to the state's primary trauma center to develop a better understanding of the influence of trauma on pregnancy and identify improvement areas in maternal/perinatal outcomes.Methods  This is a retrospective study of all pregnant women who presented with documented trauma and on whom we had delivery information on mother and neonate from January 2015 through December 2022. Demographic and clinical characteristics, type of trauma, trauma-related outcomes, disposition, and mode of delivery were collected. Results are reported as odds ratios (ORs) with 95% confidence intervals (CIs), and statistical significance was defined as p-value less than 0.05.Results  There were 1143 patients identified. Mechanism of injury included falls (n=479, 41.91%), motor vehicle accidents (MVAs; n=464, 40.59%), assault (n=164, 14.35%) and other (n=164, 14.35%). Among patients kept for observation, the largest percentage followed MVA (n=131, 28.2%). Delivery was directly related to trauma in 28 pregnancies (2.45%). Overall, 147 neonates required NICU admission (12.88%), 27 required transport to higher-level of care (2.37%), and 26 deliveries resulted in stillbirth/neonatal demise (2.28%). After gestational-age group adjustment at the time of trauma, MVAs were associated with higher odds of trauma-related delivery (adjOR 8.00, 95% CI 2.59-24.72) and trauma-related complications (adjOR 7.24, 95% CI 2.90-18.07) compared with falls. Assault was associated with higher odds of trauma-related complications (adjOR 4.25, 95% CI 1.28-14.18), neonatal complications (adjOR 1.62, 95% CI 1.03-2.56), and NICU admission (adjOR 1.75, 95% CI 1.05-2.90) compared to falls.Conclusions  Study results are consistent with published literature, demonstrating that a small subset will develop significant maternal/perinatal complications. This study supports the assumption that while most patients may be safely managed expectantly, those with higher-energy mechanisms may warrant increased clinical vigilance and potentially extended monitoring.
SN  - 1179-1411
ER  -