OB_burns_during_pregnancy

OB_burns_during_pregnancy - Burns in Pregnancy Dr Muhammad...

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Burns in Pregnancy Dr Muhammad El Hennawy Ob/gyn specialist Rass el Barr Central Hospital and Dumyat Specialised Hospital Dumyatt – EGYPT www.geocities.com/mmhennawy
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Pregnant women rarely are burned seriously, but when they are, they have unique medical problems. The mother and fetus are at great risk for fluid loss, hypoxemia, and sepsis.
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I have not been a large number of pregnant women with severe burns in my practice for twenty years But It has been become apparent however that pregnant women suffer from smoke inhalation pneumonitis that evolves poorly as they do most all forms of pneumonitis There is positive relationship between extent of burns , maternal mortality , infant mortality , and preterm labour
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Burn Scar Burn scar during pregnancy undergoes considerable softening and therfore can stretch Skin contracture following scar abdominal burn may be painful during subsequent pregnancy and may be necessitate surgical decompression and split scar autograft Loss or distortion of breast nipple may cause problem in breast feeding only if two nipples are involved but if one is affected the other breast give sufficient feeding without no problem
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What are the different types of burns ? A burn injury usually results from an energy transfer to the body. There are many types of burns caused by thermal, radiation, chemical, or electrical contact. thermal burns - burns due to external heat sources which raise the temperature of the skin and tissues and cause tissue cell death or charring. Hot metals, scalding liquids, steam, and flames, when coming in contact with the skin, can cause thermal burns. radiation burns - burns due to prolonged exposure to ultraviolet rays of the sun, or to other sources of radiation such as x-ray. chemical burns - burns due to strong acids or alkalis coming into contact with the skin and/or eyes. electrical burns - burns from electrical current, either alternating current (AC) or direct current (DC).
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Burn severity It is classified according to depth of tissue injury, total body surface area affected , the presence or absence of an inhalation injury.
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The Pregnancy Loss <20% BSA burn: no effect on fetal outcome >30% BSA burn: increased risk of preterm labour >40% BSA burn: high risk of fetal death >50% BSA burn: consider elective cesarean section if fetus is still viable The overall fetal and neonatal mortality rate is greater than 50% when the mother is burned over more than 60% of her body. with the pregnancies spontaneously terminated within 10 days of sustaining the injury
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Maternal Mortality It was 47% The most common cause of death is sepsis Prophylactic systemic antibiotics should be given to minimise the development of sepsis
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Patients are best managed in the obstetrics ward during the first 2 weeks of injury. A multidisplinary approach is encouraged in
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OB_burns_during_pregnancy - Burns in Pregnancy Dr Muhammad...

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