M A Schiff1. 1. Harborview Injury Prevention and Research Center, Seattle, WA 98104, USA. mschiff@u.washington.edu
Abstract
OBJECTIVE: To evaluate the risk of adverse maternal and perinatal outcomes among pregnant women hospitalised following falls. DESIGN: A population-based retrospective cohort study. SETTING: Washington State, USA. POPULATION: Pregnant women with a fetal death or live birth certificate linked to the hospitalisation discharge data from 1987 to 2004. METHODS: Pregnant women who experienced a fall (n = 693) were identified by the presence of an International Classification of Disease-9th Edition external causation code of E880 through E888 and were compared with a randomly chosen group of pregnant women (n = 2079) not experiencing a fall hospitalisation during pregnancy. Poisson regression analysis was used to estimate adjusted relative risks (RR) and 95% CI for associations between falls and pregnancy outcomes. MAIN OUTCOME MEASURES: Preterm labour and delivery, placental abruption, fetal distress, and fetal hypoxia. RESULTS: This study found an incidence rate of 48.9 pregnant fall hospitalisations per 100 000 deliveries. The majority of the fall hospitalisations occurred in the third trimester (79.3%), with 11.3% in the second trimester and 9.4% in the first trimester. The majority of injuries due to falls were fractures (47.4%), especially of the lower extremity, followed by contusions (18.0%) and sprains (17.3%). Falls were associated with an increased risk of preterm labour (RR 4.4, 95% CI 3.4-5.7), placental abruption (RR 8.0, 95% CI 4.3-15.0), fetal distress (RR 2.1, 95% CI 1.6-2.8), and fetal hypoxia (RR 2.9, 95% CI 1.3-6.5). CONCLUSION: In light of the increased risk of adverse maternal and perinatal outcomes associated with major falls resulting in hospitalisation, careful maternal and fetal monitoring following a major fall is warranted.
OBJECTIVE: To evaluate the risk of adverse maternal and perinatal outcomes among pregnant women hospitalised following falls. DESIGN: A population-based retrospective cohort study. SETTING: Washington State, USA. POPULATION: Pregnant women with a fetal death or live birth certificate linked to the hospitalisation discharge data from 1987 to 2004. METHODS: Pregnant women who experienced a fall (n = 693) were identified by the presence of an International Classification of Disease-9th Edition external causation code of E880 through E888 and were compared with a randomly chosen group of pregnant women (n = 2079) not experiencing a fall hospitalisation during pregnancy. Poisson regression analysis was used to estimate adjusted relative risks (RR) and 95% CI for associations between falls and pregnancy outcomes. MAIN OUTCOME MEASURES: Preterm labour and delivery, placental abruption, fetal distress, and fetal hypoxia. RESULTS: This study found an incidence rate of 48.9 pregnant fall hospitalisations per 100 000 deliveries. The majority of the fall hospitalisations occurred in the third trimester (79.3%), with 11.3% in the second trimester and 9.4% in the first trimester. The majority of injuries due to falls were fractures (47.4%), especially of the lower extremity, followed by contusions (18.0%) and sprains (17.3%). Falls were associated with an increased risk of preterm labour (RR 4.4, 95% CI 3.4-5.7), placental abruption (RR 8.0, 95% CI 4.3-15.0), fetal distress (RR 2.1, 95% CI 1.6-2.8), and fetal hypoxia (RR 2.9, 95% CI 1.3-6.5). CONCLUSION: In light of the increased risk of adverse maternal and perinatal outcomes associated with major falls resulting in hospitalisation, careful maternal and fetal monitoring following a major fall is warranted.
Authors: Agnieszka Opala-Berdzik; Bogdan Bacik; Andrzej Markiewicz; Joanna Cieślińska-Świder; Dariusz Swider; Grzegorz Sobota; Janusz W Błaszczyk Journal: Med Sci Monit Date: 2014-10-08
Authors: Agnieszka Opala-Berdzik; Janusz W Błaszczyk; Bogdan Bacik; Joanna Cieślińska-Świder; Dariusz Świder; Grzegorz Sobota; Andrzej Markiewicz Journal: PLoS One Date: 2015-06-08 Impact factor: 3.240