Is routine hospitalization of pregnant women after blunt abdominal trauma a habit or a medically indicated necessity?

G. Holcberc, A. Yafe, L. Starikov, D. Yohay, M. Katz

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: The objective was to assess the outcome of pregnancy in patients exposed to one or more events of noncatasyrophic blunt abdominal trauma and to determine whether the common practice of" routine hospitalisation is justifiable in terms of cost effectiveness. STUDY DESIGN: We reviewed the pregnancv outcome of 270 consecutive cases hospitalized after blunt abdominal trauma at our department, during a 4 year period (1991-1995). Data analvzed included: incidence of abruptio placentae, premature contractions, premature rupture of membranes and premature labor, intrauterine growth retardation, time interval between irauma, hospitalization and outcome of pregnancy. RESULTS: Of the 270 cases of blunt abdominal trauma 56 (20.7%) occurred at gestational age of 15 to 26 weeks, 128 (47.4%) at 27 10 34 weeks, 53 (19.7%) at 35 to 37 weeks and 28 (10.3%) at 38 to 42 weeks. Multiple trauma occurred in 5 (1.85%) patients on 2 to 4 separate occasions. The trauma-delivery interval in patients with one trauma was 14.9 (S.D. 4.5) weeks for the first group and 1.39 (S.D. 0.9) weeks for the last. In the multiple trauma subgroup the period between first event and delivery ranged from 2 to 16 weeks, all of them had normal outcome. The mean duration of hospitalization of the 265 cases with one trauma was 1.95 days (S.D. 2.25) with a range from 1 to 22 days. Abruptio placentae occurred in 2 (0.74%) patients. The first was diagnosed upon admission and the second was diagnosed 3 days after the accident. We had 2 intrauterine deaths- both extreme prematures. One occurred in the case of abruptio placentae at 24 weeks and the other, 4 weeks after trauma, at 20 weeks in a malformed fetus. With the pri/e of a hospital bed in Israel being 770 $ per day, 396550 $ were spend to cover the 515 days of hospitalization of all 270 patients. Most of the cases could have been send home with proper instructions 6 hours after the event and followed up in the outpatient clinic. CONCLUSION: Based on those results, we believe that for the majority of pregnant patients after noncatastrophical trauma, the benefit from hospitalization is doubtful and rostlv.

Original languageEnglish
Pages (from-to)S187
JournalActa Diabetologica Latina
Volume176
Issue number1 PART II
StatePublished - 1 Dec 1997

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Fingerprint

Dive into the research topics of 'Is routine hospitalization of pregnant women after blunt abdominal trauma a habit or a medically indicated necessity?'. Together they form a unique fingerprint.

Cite this