Reference Country, year

Types of trauma

Trauma and pregnancy

Non-pregnancy trauma

Principle results

United States, 2015

AVP

324,535

14,719,533

For a comparable violent shock, the prevalence of moderate and severe trauma was similar in pregnant and non-pregnant women

Canada, 2015

AVP

5936

59,360

Mortality was reduced in pregnant women but the lesion severity score was lower in these women (probable recruitment bias due to pregnant women who consult mainly to be reassured)

United States, 2005

All

1195

76,127

United States, 2011

All

3763

214,394

In multivariate analysis after matching, mortality was significantly reduced in pregnant women (OR: 0.59; 95% CI: 0.38 - 0.89)

United States, 2017

All

1148

43,608

Mortality was twice as high in pregnant women, while the traumatic injury severity score was lower in these women.

United Kingdom, 2016

All

173

14,967

The severity of the lesions was similar in pregnant and non-pregnant women. Mortality was similar in the two groups: 5.1 versus 4.1%; p = 0.70

Reference Country, year

Types of trauma

Trauma and pregnancy

Pregnancies without trauma

Principle results

United States, 2013

AVP

25,168

878,546

30% increase in preterm delivery, HRP and RPM after AVP. Risk of stillbirth multiplied by 3 in the absence of a seat belt

Australia, 2012

AVP

2147

604,380

Poor perinatal prognosis in women who gave birth during hospitalization for trauma. Among women still pregnant after discharge, the prevalence of PRH remains higher than in the general population, including after minor trauma (ISS score < 9)

United States, 2008

Falls

693

2079

United States, 2004

All

10,316

4,833,286

Israel, 2014

Minor trauma

51

1024

The prevalence of a composite score (HRP or childbirth < 37 WA or birth weight < 2500 g) was lower in traumatized women: 9.4 versus 12.9%; p = 0.04