Trauma en pacientes obstétricas en 6 centros de atención de la ciudad de Bogotá durante el periodo 2017- 2020

Abstract

Trauma in pregnant women is the leading non-obstetric cause of maternal morbidity and mortality. In Colombia, there is a lack of data on the current status of this problem, including incidence and factors related to the main outcomes, so the following study is proposed to characterize the population and the type of trauma in pregnant women treated in the northern subnetwork of the city. from Bogota. Methodology Descriptive study in 6 care centers in the city of Bogotá between 2017 and 2021, data from digital medical records were collected. Numerical variables were described using medians and interquartile ranges, assuming non-normality due to the relatively low number of patients. Categorical variables were described using absolute and relative frequencies. Results 30 pregnant women with trauma were registered during the study period. No case required intensive care unit management and most did not require medical intervention or affect maternal or fetal outcomes. The main cause of trauma was falls followed by domestic violence, the number of cases of sexual abuse is highlighted, which differs from some reports in the literature that denote traffic accidents as the main cause of trauma. Conclusions Trauma in pregnant women is an important cause of morbidity and mortality in this population group worldwide, efforts and resources should be directed towards the correct identification and characterization of cases. More regional studies are needed to learn about local epidemiology and develop prevention policies adapted to this population.