OBJECTIVE: Pregnancy imposes significant physiologic demands that may confuse and complicate the evaluation, resuscitation, and definitive management of pregnant @entity1 who sustain @entity130 . Accurate prediction of fetal outcome after @entity130 remains elusive. The objective of this study was to characterize patterns of injury in pregnant @entity1 , to determine if pregnancy affects maternal morbidity and mortality after @entity130 , and to identify predictors of @entity5617 . METHODS: We performed a retrospective, case-control analysis of all injured pregnant @entity1 admitted to the @entity130 Service at the University of California San Diego Medical Center from 1985 to 1995. RESULTS: We identified 114 injured pregnant @entity1 . Motor vehicle crashes accounted for 70% of injuries, and of these, 46% of @entity1 were not using seat belts or helmets. Violence accounted for 12% of injuries. Injured pregnant @entity1 with Injury Severity Scores > 8 demonstrated similar mortality, morbidity, and length of stay to matched nonpregnant control @entity1 . Pregnant @entity1 were more likely to sustain serious @entity3511 and were less likely to sustain severe @entity542 . Identified risk factors for fetal loss include @entity204 , overall @entity130 severity, the presence of severe @entity3511 , and the presence of @entity548 . CONCLUSION: There appears to be a group of pregnant @entity1 in San Diego at high risk for @entity130 who should be targeted for preventative strategies including improved seat belt use. Pregnancy does not increase mortality or morbidity after @entity130 but influences the pattern of injury. @entity204 , high Injury Severity Score, serious @entity3511 , and @entity548 are risk factors for fetal loss.

XXXX in pregnancy: maternal and fetal outcomes.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhagic shock'] @entity542 :: ('MESH:D006259', 'Disease') :: ['head injury'] @entity3511 :: ('MESH:D000007', 'Disease') :: ['abdominal injury'] @entity5617 :: ('MESH:D005313', 'Disease') :: ['fetal death'] @entity204 :: ('MESH:D003643', 'Disease') :: ['Maternal death', 'maternal death'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumatic injury', 'Trauma', 'maternal injury', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['Trauma']
