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|Title: ||Injury patterns and health outcomes among pregnant women seeking emergency medical care in Kumasi, Ghana: Challenges and opportunities to improve care|
|Other Titles: ||Types de blessures et re´sultats pour la sante´ chez les femmes enceintes ayant besoin d’une prise en charge me´dicale d’urgence a` Kumasi au Ghana: de´fis et opportunite´s relatifs a` l’ame´lioration des soins|
|Authors: ||Ebel, Beth E.|
Flynn-O’Brien, Katherine T.
|Issue Date: ||2016|
|Publisher: ||African Journal of Emergency Medicine|
|Citation: ||African Journal of Emergency Medicine (2016) xxx, xxx–xxx|
|Abstract: ||In high-income countries, injury is the most common cause of non-obstetric death among pregnant women. However, the injury risk during pregnancy
has not been well characterized for many developing countries including Ghana. Our study described maternal and fetal outcomes after injury at the Komfo Anokye
Teaching Hospital (KATH) in Kumasi, Ghana, and identified associations between the prevalence of poor outcomes and maternal risk factors.
We conducted a cross-sectional study to identify pregnant women treated for injury over a 12-month period at KATH in Kumasi, Ghana. Descriptive statistics
were used to characterize the population. We identified the association between poor outcomes and maternal risk factors using multivariable Poisson regression.
There were 134 women with documented pregnancy who sought emergency care for injury (1.1% of all injured women). The leading injury mechanisms were
motor vehicle collision (23%), poisoning (21%), and fall (19%). Assault was implicated in 3% of the injuries. Eleven women (8%) died from their injuries. The prevalence
of poor fetal outcomes: fetal death, distress or premature birth, was high (61.9%). One in four infants was delivered prematurely following maternal injury. After
adjusting for maternal and injury characteristics, poor fetal outcomes were associated with pedestrian injury (adjusted prevalence ratio (aPR) 2.5, 95% CI 1.5–4.6), and
injury to the thoraco-abdominal region (aPR 2.1, 95% CI 1.4–3.3).
Injury is an important cause of maternal morbidity and poor fetal outcomes. Poisoning, often in an attempt to terminate pregnancy, was a common
occurrence among pregnant women treated for injury in Kumasi. Future work should address modifiable risk factors related to traffic safety, prevention of intimate
partner violence, and prevention of unintended pregnancies.|
|Description: ||This Article was published by African Journal of Emergency Medicine (2016) xxx, xxx–xxx|
|Appears in Collections:||College of Health Sciences|
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