Maternal and Neonatal Outcomes of Gunshot Wounds in Pregnancy: A Systematic Review of Case Reports-Reference-Cited by-同舟云学术

Maternal and Neonatal Outcomes of Gunshot Wounds in Pregnancy: A Systematic Review of Case Reports

Published:2023-10-21 Issue:2 Volume:90 Page:279-291
ISSN:0003-1348
Container-title:The American Surgeon™
language:en
Short-container-title:The American Surgeon™

Author:

Shipchandler Fatema T.¹,Huntley Erin S.²,Holder Travis F.³^ORCID,Ali Talha⁴,Behnia Faranak⁵,Chauhan Suneet P.²,Huntley Benjamin J. F.²

Affiliation:

1. Swedish Family Medicine Residency - First Hill, Seattle, WA, USA

2. Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA

3. Research Medical Library, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

4. Department of Community Health, Tufts University, Medford, MA, USA

5. Obstetrix Maternal-Fetal Medicine Specialists of Houston, Katy, TX, USA

Abstract

A systematic review was performed to compare adverse maternal and neonatal outcomes among pregnant patients with gunshot wounds (GSW) to the abdominopelvic vs other region(s) at > 20 weeks gestation. A search of Medline Ovid, Elsevier Embase, EBSCO CINAHL, and Cochrane Library in July 2022 and reference searches resulted in 1742 studies, which were screened. The 41 included studies reported outcomes for 59 pregnant patients with GSW, of which 31 (52.5%) had an isolated abdominopelvic GSW and 28 (47.5%) had an extremity, thorax, head/neck, back/spine, poly-site, or other/unknown GSW. Stillbirth occurred in 26.7% of abdominopelvic GSW and 26% of non-abdominopelvic GSW. Maternal death occurred in 3.7% of abdominopelvic GSW and 10.7% of non-abdominopelvic GSW. Neonatal death occurred in 9.1% of abdominopelvic GSW and 5.3% of non-abdominopelvic GSW. Further research is needed to standardize the approach for the evaluation and management of patients with GSW in pregnancy.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/00031348231207298

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