DOI: https://doi.org/10.22263/2312-4156.2024.1.9
T.V. Kovalchuk-Bolbatun, D.D. Stasevich
Thermal skin burn in pregnant women (literature review)
Grodno State Medical University, Grodno, Republic of Belarus
Vestnik VGMU. 2024;23(1):9-14.
Abstract.
The treatment of thermal injuries is the urgent problem of combustiology, despite all the achievements of modern medicine. Pregnant women with thermal skin burns require special attention. It is this group of victims that needs the greatest attention of medical personnel, the involvement of a large number of specialists from various fields and a modern diagnostic base. The complexity of the organization and carrying out the treatment process is determined by the fact that the adverse effects of skin loss lead to rapid depletion of the already initially reduced mechanisms of adaptation of the pregnant woman’s body and, often, the inability to ensure the safe development of the fetus. Therefore, thermal trauma increases the risk of spontaneous abortions and premature birth. In turn, physiological changes occurring in the body of a pregnant woman can affect the regeneration processes of a burn wound. According to various authors, the incidence of burns in pregnant women is 5-7%. In most literature sources, information is provided by reports from the developing countries in which the main cause of injury is the domestic use of kerosene, as well as an attempt of suicide by self-immolation. The determining factors of the outcome of thermal injury for the pregnant woman and her fetus are the severity of the burn and the gestation period.
Keywords: thermal injury, burn, skin, pregnancy, fetus.
References
1. Chasnoyt ACh. Organization of combustiology care in the Republic of Belarus: present and prospects of development. Kombustiologiya. 2021;(65-66). Available from: http://combustiolog.ru/journal/sbornik-tezisov-foruma-kombustiologii-rossii-chast-vtoraya/. [Accessed 12th February 2024]. (In Russ.)
2. Kovalchuk-Bolbatun TV, Smotrin SM. Thermal skin burns in late gestation in experimental animals: the state of the mother-fetus system. Problemy Zdorov'ya Ekologii. 2021;18(4):114-20. (In Russ.). doi: http://dx.doi.org/10.51523/2708-6011.2021-18-4-15
3. Shchukina EG, Solovyeva SL. Self-organization of the mother-child system under the influence of stress. Mir Psikhologii. 2008;(4):112-20. (In Russ.)
4. Strizhakov AN, Ignatko IV. Early pregnancy: complications and prediction of perinatal outcomes. Vopr Ginekologii Akusherstva Perinatologii. 2012;11(5):5-12. (In Russ.)
5. Agarwal P. Thermal injury in pregnancy: predicting maternal and fetal outcome. Indian J Plast Surg. 2005;38(02):95-9. doi: http://dx.doi.org/10.4103/0970-0358.19774
6. Uygur F, Öksüz S, Sever C, Alagöz Ş. Burn injury in pregnancy: review. Тurkiye Klinikleri J Gynecol Obst. 2009;19(1):38-41.
7. Mehta H, Wasadikar P. Impact on fetal outcome following burns in pregnancy. Int Surg J. 2021;8(5):1454-7. doi: http://dx.doi.org/10.18203/2349-2902.isj20211806
8. Ferreira Leite J, Fernandes EL, Takassi GF, De Oliveira AF, Ferreira LM. Pregnancy and burns: experience of a university hospital burn unit. Brazilian J Plastic Surg. 2018;33(3):423-7. doi: http://dx.doi.org/10.5935/2177-1235.2018RBCP0158
9. Sokolov VA, Abashin VG, Admakin AL, Petrachkov SA, Stepanenko AA. Burns in pregnant women: prevalence, patterns, and outcomes. Voen-Med Zhurn. 2016;337(7):38-43. (In Russ.)
10. Correia-Sá I, Marques M, Horta R, Costa-Ferreira A, Rodrigues AG, Silva Á, et al. Experience in management of burn injury during pregnancy in a burn unit. J Burn Care Res. 2021 Mar;42(2):232-5. doi: http://dx.doi.org/10.1093/jbcr/iraa141
11. Shi Y, Zhang X, Huang BG, Wang WK, Liu Y. Severe burn injury in late pregnancy: a case report and literature review. Burns Trauma. 2015;3:2. doi: http://dx.doi.org/10.1186/s41038-015-0002-z
12. Karimov ZD, Zhabborov UU, Abdikulov BS, Khusankhodzhaeva MT. Trauma in pregnant women: current aspects of the problem (literature review). Neotlozh Med Pomoshch. 2013;(1):33-7. (In Russ.)
13. Parikh P, Sunesara I, Lutz E, Kolb J, Sawardecker S, Martin JN. Burns during pregnancy: implications for maternal-perinatal providers and guidelines for practice. Obstet Gynecol Surv. 2015 Oct;70(10):633-43. doi: http://dx.doi.org/10.1097/OGX.0000000000000219
14. Huls CK, Detlefs C. Trauma in pregnancy. Semin Perinatol. 2018 Feb;42(1):13-20. doi: http://dx.doi.org/10.1053/j.semperi.2017.11.004
15. Mehdizadeh A, Akbarian A, Samareh Pahlavan P, Tavajjohi S, MacKay Rossignol A, Alaghehbandan R, et al. Epidemiology of burn injuries during pregnancy in Tehran, Iran. Ann Burns Fire Disasters. 2002 Dec;15(4):163-9.
16. Ogbogu CJ, Uduezue A, Anetekhai WI, Agunwa CC. Burn injuries in pregnancy in a regional burns center in Nigeria: Presentation, maternal and fetal outcome. Burns Open. 2018 Jan;2(1):53-8. doi: http://dx.doi.org/10.1016/j.burnso.2017.11.001
17. Rezaei E, Beiragi-Toosi A, Aliakbarian H, Alijani HR, Shariat-Gonabadi G. Acute Burns during Pregnancy: A Retrospective Study. J Midwifery Rep Нealth. 2016 Jan;4(1):540-3. doi: http://dx.doi.org/10.22038/jmrh.2016.6123
18. Maternal and fetal outcome of burn during pregnancy: 3rd report from Kermanshah, Iran. Int J Burns Trauma. 2021 Apr;11(2):90-5.
19. Hatef MB. Burn in pregnancy (a prospective study of 60 pregnant burned women with thermal injuries). Kufa Med J. 2012;15(1):37-43.
20. Zulqarnain M, Imran A, Mohammed K, Ansarul H. Pregnancy in burns: maternal and fetal outcome. Indian J Burns. 2012 Jan;20(1):36-41. doi: http://dx.doi.org/10.4103/0971-653X.111780
21. Khondker SN, Mohiuddin SM, Awwal R. Maternal and fetal outcome of burn with pregnancy: a prospective observational study at a tertiary burn hospital. J Surg Res. 2021 Nov;4(4):765-7. doi: http://dx.doi.org/10.26502/jsr.10020189
22. Bar S, Biswas D, Pal A. Evaluation of fetomaternal outcome in pregnancy with burn injury: A prospective observational study. Int J Clin Obstet Gynaecol. 2019;3(3):33-5. doi: http://dx.doi.org/10.33545/gynae.2019.v3.i3a.09
23. Churilov AV, Kushnir SV, Popandopulo AD, Shmatko LP. Management of pregnant women with thermal injuries. Skoraya Med Pomoshch''. 2006;(3):100-1. (In Russ.)
24. Churilov AV, Fistal EYa, Kushnir SV, Mikhaylichenko VYu, Dzhelomanova SA. Management of pregnant women with thermal skin lesions depending on the trimester of pregnancy. Tavr Med-Biol Vestn. 2015;18(1):138-40. (In Russ.)
25. Churilov AV, Fistal EYa, Lomykin IA, Grin VK Complex treatment of thermal lesions in pregnant women. Vestn Neotlozh Vosstanov Meditsiny. 2005;6(2):272-5. (In Russ.)
26. Arzieva GB, Khakimov EA, Karabaev KhK, Mizamov FO, Mustafakulov IB, Ergashev AF. Pregnancy outcomes in thermal trauma. Neotlozh Khirurgiya im II Dzhanelidze. 2021;(1 Pril):9. (In Russ.)
27. Kovalev VO, Berdnikov II. Severe thermal trauma in pregnant women: a review of the literature and a clinical case study. Ekstrim Meditsina. 2016;5(2):309-17. (In Russ.)
Information about authors:
T.V. Kovalchuk-Bolbatun – Candidate of Medical Sciences, lecturer of the 2nd Chair of Surgical Diseases, Grodno State Medical University,
e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Tat’yana V. Kovalchuk-Bolbatun;
D.D. Stasevich – the 4th-year student of the Pediatric Faculty, Grodno State Medical University.
