Objective: To report on maternal and fetal outcome in 53 pregnant women seen at a referral burn center.
Methods: Possible links between outcome and maternal age, level of education, marital status, percentage of total body surface area (TBSA) burned, inhalation injury, source and intentionality of the burn, and trimester of pregnancy at the time of the burn were assessed.
Results: Of 5,497 women, 53 (1.3%) were pregnant at the time of admission. Maternal and fetal deaths occurred at significantly higher rates in cases of inhalation injury (P=0.001). The mean percentage of TBSA burned was significantly higher in cases of maternal or fetal death (P<0.001 for both), and when the burn has a suicidal intent (P=0.006). The maternal and fetal mortality rates were also higher when the burn was suicidal (P=0.001 and P=0.005).
Conclusion: Inhalation injury, suicidal burn injury, and percentage of TBSA burned were correlated with a higher maternal and fetal mortality.