Management and Outcome of Burn During Pregnancy

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Author(s): 1,Lubna Cheema 2,Sobia Manzoor 3,Usman Khalid 4,Mamoona Khadim 5,Zahid Tayyab

Received: 22/06/2022 | Published: 15/09/2022 | Pages: 45-49 |

Working in kitchens exposes women of reproductive age to burn injuries on daily basis in low socio- economic countries. Though rare burn injuries during pregnancy are a significant healthcare burden as they are a threat to the health of both mother and fetus. The objective of this study is to describe demography and burn characteristics of patients and to determine the factors affecting maternal and fetal outcomes. Methodology: Retrospective study conducted in burn unit of Mayo Hospital / KEMU for a period of 3½ years (June 2018 – Jan2022.) Data was collected about age, TBSA, depth and mode of burn, gestational age, hospital stay, treatment and fate of mother and fetus. Results: Total no of patients was 30.Mean age was 26.2±5.17.Mean gestational age was 23.±8.0.Mean hospital stay was12 ±9.95 days. Maternal Mortality was 26.7%. There were 3 deaths in less than 28 weeks and 5 deaths in more than 28 weeks of gestation. There were 13 patients with less than 20% TBSA, 10 in(21 -40%), 5 in(41 – 60%), 2 in more than 61%.Fetal mortality was 20 %. Conclusion: Maternal mortality is related to Percentage of total burn surface area, inhalation injury, depth of burn and gestational age. Burn in pregnant females has a strong negative effect on fetal wellbeing and survival.

Keywords | Burn in pregnancy, Maternal outcome, fetal outcome, TBSA.