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Abstract
Discussion Forum (0)
Introduction: Trauma has been characterized as the leading non-obstetric cause of death among pregnant individuals. Black communities experience disproportionately high rates of trauma exposure as well as maternal mortality. We sought to assess the impact of race in pregnancies complicated by antenatal trauma treated at an inner city trauma center.
Methods: This is a retrospective cohort study of all pregnant women (15- 49 years) treated in the Shock Trauma Center at the University of Maryland (one of the highest-volume Level 1 trauma centers in the United States) from 2015-2018. We assessed maternal demographics, type and severity (ISS) of trauma, delivery details, and perinatal outcomes. An injury severity score (ISS) ≥9 was used to characterize severe trauma.
Results: Forty percent of the 3,536 women aged 15-49 seen after trauma were black. Of all women presenting for trauma, 65 were pregnant and of those, 70% were black (n=46). Pregnant individuals who experienced severe trauma were more likely to be black (73% (11/15)). Severe trauma experienced by black women was more likely to be violent acts (gunshots, stabbings) (55% (6/11)). Lastly, 83% of black women who experienced severe trauma after 24 weeks gestational age had either a preterm delivery or fetal demise. There was no significant difference in the time between trauma and delivery by race. (p = 0.18)
Conclusion/Implications: Black individuals are disproportionately more likely to experience severe violent trauma in pregnancy.
Methods: This is a retrospective cohort study of all pregnant women (15- 49 years) treated in the Shock Trauma Center at the University of Maryland (one of the highest-volume Level 1 trauma centers in the United States) from 2015-2018. We assessed maternal demographics, type and severity (ISS) of trauma, delivery details, and perinatal outcomes. An injury severity score (ISS) ≥9 was used to characterize severe trauma.
Results: Forty percent of the 3,536 women aged 15-49 seen after trauma were black. Of all women presenting for trauma, 65 were pregnant and of those, 70% were black (n=46). Pregnant individuals who experienced severe trauma were more likely to be black (73% (11/15)). Severe trauma experienced by black women was more likely to be violent acts (gunshots, stabbings) (55% (6/11)). Lastly, 83% of black women who experienced severe trauma after 24 weeks gestational age had either a preterm delivery or fetal demise. There was no significant difference in the time between trauma and delivery by race. (p = 0.18)
Conclusion/Implications: Black individuals are disproportionately more likely to experience severe violent trauma in pregnancy.
Introduction: Trauma has been characterized as the leading non-obstetric cause of death among pregnant individuals. Black communities experience disproportionately high rates of trauma exposure as well as maternal mortality. We sought to assess the impact of race in pregnancies complicated by antenatal trauma treated at an inner city trauma center.
Methods: This is a retrospective cohort study of all pregnant women (15- 49 years) treated in the Shock Trauma Center at the University of Maryland (one of the highest-volume Level 1 trauma centers in the United States) from 2015-2018. We assessed maternal demographics, type and severity (ISS) of trauma, delivery details, and perinatal outcomes. An injury severity score (ISS) ≥9 was used to characterize severe trauma.
Results: Forty percent of the 3,536 women aged 15-49 seen after trauma were black. Of all women presenting for trauma, 65 were pregnant and of those, 70% were black (n=46). Pregnant individuals who experienced severe trauma were more likely to be black (73% (11/15)). Severe trauma experienced by black women was more likely to be violent acts (gunshots, stabbings) (55% (6/11)). Lastly, 83% of black women who experienced severe trauma after 24 weeks gestational age had either a preterm delivery or fetal demise. There was no significant difference in the time between trauma and delivery by race. (p = 0.18)
Conclusion/Implications: Black individuals are disproportionately more likely to experience severe violent trauma in pregnancy.
Methods: This is a retrospective cohort study of all pregnant women (15- 49 years) treated in the Shock Trauma Center at the University of Maryland (one of the highest-volume Level 1 trauma centers in the United States) from 2015-2018. We assessed maternal demographics, type and severity (ISS) of trauma, delivery details, and perinatal outcomes. An injury severity score (ISS) ≥9 was used to characterize severe trauma.
Results: Forty percent of the 3,536 women aged 15-49 seen after trauma were black. Of all women presenting for trauma, 65 were pregnant and of those, 70% were black (n=46). Pregnant individuals who experienced severe trauma were more likely to be black (73% (11/15)). Severe trauma experienced by black women was more likely to be violent acts (gunshots, stabbings) (55% (6/11)). Lastly, 83% of black women who experienced severe trauma after 24 weeks gestational age had either a preterm delivery or fetal demise. There was no significant difference in the time between trauma and delivery by race. (p = 0.18)
Conclusion/Implications: Black individuals are disproportionately more likely to experience severe violent trauma in pregnancy.
Impact of Race on Trauma in Pregnancy
Jessica Lee
Abstract
Discussion Forum (0)
Introduction: Trauma has been characterized as the leading non-obstetric cause of death among pregnant individuals. Black communities experience disproportionately high rates of trauma exposure as well as maternal mortality. We sought to assess the impact of race in pregnancies complicated by antenatal trauma treated at an inner city trauma center.
Methods: This is a retrospective cohort study of all pregnant women (15- 49 years) treated in the Shock Trauma Center at the University of Maryland (one of the highest-volume Level 1 trauma centers in the United States) from 2015-2018. We assessed maternal demographics, type and severity (ISS) of trauma, delivery details, and perinatal outcomes. An injury severity score (ISS) ≥9 was used to characterize severe trauma.
Results: Forty percent of the 3,536 women aged 15-49 seen after trauma were black. Of all women presenting for trauma, 65 were pregnant and of those, 70% were black (n=46). Pregnant individuals who experienced severe trauma were more likely to be black (73% (11/15)). Severe trauma experienced by black women was more likely to be violent acts (gunshots, stabbings) (55% (6/11)). Lastly, 83% of black women who experienced severe trauma after 24 weeks gestational age had either a preterm delivery or fetal demise. There was no significant difference in the time between trauma and delivery by race. (p = 0.18)
Conclusion/Implications: Black individuals are disproportionately more likely to experience severe violent trauma in pregnancy.
Methods: This is a retrospective cohort study of all pregnant women (15- 49 years) treated in the Shock Trauma Center at the University of Maryland (one of the highest-volume Level 1 trauma centers in the United States) from 2015-2018. We assessed maternal demographics, type and severity (ISS) of trauma, delivery details, and perinatal outcomes. An injury severity score (ISS) ≥9 was used to characterize severe trauma.
Results: Forty percent of the 3,536 women aged 15-49 seen after trauma were black. Of all women presenting for trauma, 65 were pregnant and of those, 70% were black (n=46). Pregnant individuals who experienced severe trauma were more likely to be black (73% (11/15)). Severe trauma experienced by black women was more likely to be violent acts (gunshots, stabbings) (55% (6/11)). Lastly, 83% of black women who experienced severe trauma after 24 weeks gestational age had either a preterm delivery or fetal demise. There was no significant difference in the time between trauma and delivery by race. (p = 0.18)
Conclusion/Implications: Black individuals are disproportionately more likely to experience severe violent trauma in pregnancy.
Introduction: Trauma has been characterized as the leading non-obstetric cause of death among pregnant individuals. Black communities experience disproportionately high rates of trauma exposure as well as maternal mortality. We sought to assess the impact of race in pregnancies complicated by antenatal trauma treated at an inner city trauma center.
Methods: This is a retrospective cohort study of all pregnant women (15- 49 years) treated in the Shock Trauma Center at the University of Maryland (one of the highest-volume Level 1 trauma centers in the United States) from 2015-2018. We assessed maternal demographics, type and severity (ISS) of trauma, delivery details, and perinatal outcomes. An injury severity score (ISS) ≥9 was used to characterize severe trauma.
Results: Forty percent of the 3,536 women aged 15-49 seen after trauma were black. Of all women presenting for trauma, 65 were pregnant and of those, 70% were black (n=46). Pregnant individuals who experienced severe trauma were more likely to be black (73% (11/15)). Severe trauma experienced by black women was more likely to be violent acts (gunshots, stabbings) (55% (6/11)). Lastly, 83% of black women who experienced severe trauma after 24 weeks gestational age had either a preterm delivery or fetal demise. There was no significant difference in the time between trauma and delivery by race. (p = 0.18)
Conclusion/Implications: Black individuals are disproportionately more likely to experience severe violent trauma in pregnancy.
Methods: This is a retrospective cohort study of all pregnant women (15- 49 years) treated in the Shock Trauma Center at the University of Maryland (one of the highest-volume Level 1 trauma centers in the United States) from 2015-2018. We assessed maternal demographics, type and severity (ISS) of trauma, delivery details, and perinatal outcomes. An injury severity score (ISS) ≥9 was used to characterize severe trauma.
Results: Forty percent of the 3,536 women aged 15-49 seen after trauma were black. Of all women presenting for trauma, 65 were pregnant and of those, 70% were black (n=46). Pregnant individuals who experienced severe trauma were more likely to be black (73% (11/15)). Severe trauma experienced by black women was more likely to be violent acts (gunshots, stabbings) (55% (6/11)). Lastly, 83% of black women who experienced severe trauma after 24 weeks gestational age had either a preterm delivery or fetal demise. There was no significant difference in the time between trauma and delivery by race. (p = 0.18)
Conclusion/Implications: Black individuals are disproportionately more likely to experience severe violent trauma in pregnancy.
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