Keywords
Pregnancy
maternal-fetal prognosis
How to Cite
Abstract
Introduction :
abdominal trauma in pregnant women is a distressing situation for the patient, her family and for the practitioner. This is a little-explored subject in Niger. The objective of this work was to analyze the sociodemographic and therapeutic aspects as well as the maternal-fetal outcome of abdominal trauma in pregnant women in a reference maternity ward in Niger.
Materials and method :
This was a retrospective study over a period of 5 years (from January 1, 2017 to December 31, 2021). Data from 32 patients were entered and analyzed. The Chi2 test was used to compare proportions. The test is significant for P value < 5%.
Results :
The frequency of abdominal trauma in pregnant women was 0.06% (32 cases/ 51024 pregnant women). The average age of the patients was 23.6 years with extremes of 17 to 39 years. Accidents on public roads were the majority with 50% (16 cases) of cases, followed by falling from heights and intentional assault and battery/domestic violence with 31.25% (10 cases) and 12.5% (4 cases) of cases respectively. The threat of premature delivery and retroplacental hematoma were the main complications encountered with respectively 31.25% (10 cases) and 28.12% (9 cases) of cases. Caesarean section was performed in 62.5% (20 cases) of cases. The average length of hospitalization was 4 days. In 62.5% (20 cases) of cases the newborn was alive. We recorded 4 stillbirths or 12.5%. No maternal deaths were recorded.
Conclusion :
Trauma in pregnant women is rare but constitutes an important factor of maternal morbidity and perinatal morbidity and mortality in our context. Rapid, multidisciplinary management helps improve the prognosis.
References
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Copyright (c) 2026 M Oumara, S Guédé, H Soumana Diaouga, M Chaibou Yacouba, Z Salifou Lankoande, S Oumarou Garba, I Amadou, R Garba, M Nayama, R Sani