DOI: 10.36347/sasjs.2022.v08i07.003

Pages: 479-486

Background: Burn injuries sustained during pregnancy are often connected with a high mortality risk for both the mother and the unborn child. Although they are not very common, they have the potential to alter the course of events for both the mother and the growing fetus. Objective: To see and compare the outcome between burned pregnant and non-pregnant women. Methods: This cross sectional comparative study was conducted at the department of Burn and Plastic surgery of Dhaka Medical College Dhaka, from July2016 to December 2017 for the duration of 18(eighteen) months A total no of 90 patients (45 patients in each group) have considered as our sample size. Purposive sampling technique was followed in this study. Pretested data collection sheet was developed to gather data. Face to face interview and review of clinical data was done to collect data. Lund Browder chart was applied to calculate the proportion of burns based on the total body surface area (TBSA). Pregnancy confirmation done by history and ultrasonography. Urine dipstick tests were not done routinely. All patients were managed with a standard protocol for burn care in consultation with an obstetrician in case of pregnancy. The outcome was monitored often and reported. SPSS v25 was used to data analysis. Chi square test used to measure the correlation between independent and dependent variable. P value < 0.01 considered as significant value. Statistical analyses were used to assess the relative predictive power of %TBSA, age, trimester of pregnancy, and complications of burn as predictors of maternal and fetal mortality. Results: The mean age of pregnant women was (25.09±7.04) and non-pregnant women (26.71±8.30). 86.7% pregnant and 82.2% non-pregnant women were burned accidentally while 13.3% pregnant and 17.8% non-pregnant women had suicidal burn. Death occurred in 44.4 % of pregnant and 24.4 % in non- pregnant women. Fetal death along with maternal death was reported 36.8%, abortion 36.8%, .............