III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S...
-
Upload
jordon-phelps -
Category
Documents
-
view
215 -
download
0
Transcript of III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S...
![Page 1: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/1.jpg)
III. SLOVAK SURGICAL CONGRESSXXXIII. JOINT CONGRESS OF SLOVAK AND CZECH
SURGEONSXXX. REIMAN’S DAYS
SEPTEMBER 11 - 13, 2002
PREGNANT WOMEN IN CAR
HAVE WE GOT PROTECTION AGAINST ABDOMINAL TRAUMA ?
G. Ács, A. Furka*, T. Lesznyák I. Mikó, Gy.Pekár**, I. Furka, Department of Operative Techniques and Surgical Research
*2nd Department of Surgery, **Pathology
Medical and Health Science Center, Faculty of Medicine, University of Debrecen
www.surg.res.dote.hu e -mail: [email protected]
![Page 2: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/2.jpg)
By the cause of death statistics the most of the deaths can be lead back to external effect in the age-group 15-49. In this category the motor vehicle accidents has got leading position.
![Page 3: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/3.jpg)
The most of the pregnant women belongs to this age group.
The pregnancy does not increase the danger, but despite of this, the motor vehicle accidents are the leading causes of death at pregnant women also.
![Page 4: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/4.jpg)
PREGNANCY
6-7% INJURY
50% MVC
1-3% FETAL DEATH
![Page 5: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/5.jpg)
FATAL OUTCOME
MOTOR VECHICLE CRASHES
WITHOUT
AIR BAG
WITH
AIR BAG
WITHOUT
SEAT BELT
100 % 87 %
WITH
SEAT BELT
55 % 50 %
![Page 6: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/6.jpg)
PREGNANCY
PREVENTION
INJURY
![Page 7: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/7.jpg)
THE CAUSES OF FETAL LOSS
MATERNAL DEATHSEVERE INJURY OF THE MOTHERABDOMINAL INJURYHEMORRHAGIC SHOCKHYPOXIAUTERO-PLACENTAL DAMAGEFETAL INJURY
![Page 8: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/8.jpg)
In case of a pregnant woman’s accident, injury the smallest trauma can endanger the pregnancy, direct fetal injuries can develop. The mother’s severe injury with or without fetal injuries leads to fetal damage or death.
![Page 9: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/9.jpg)
If the mother die in the accident the fetus can survive it only in exceptional case, only if the conditions of the postmortem Cesarean section are given, may be at the scene.
![Page 10: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/10.jpg)
In Hungary in 1998 from 181543 pregnancy 84242 ended by induced abortion, 15271 was the early and late fetal loss. If we project the data of the age group for the pregnant probably the vehicle accidents are responsible for 11 pregnant women’s death. If we see the previous data the trauma caused by motor vehicle can be responsible for 1-3% of the fetal loss, which means 150-500 died fetus per year.
![Page 11: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/11.jpg)
For make the situation better, at the motor vehicle caused injuries, we have to look for chances first of all at the prevention. The choose of the motor vehicle’s type, the adequate road network and the adequate personal factor are the elements of the active security. At the personal factor it is necessary to stress the importance of the acquisition of the adequate knowledge, the good psychical and physical status.
![Page 12: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/12.jpg)
Elements of the passive security’s inner part are the safety belt, headrest and the air bag. These safety devices are destined for decrease the severity of the trauma and the fetal and maternal mortality.
![Page 13: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/13.jpg)
If the injury is happened the adequate special emergency supply and the first traumatology supply are determinant. In this view the chances of the injured patients are not the same in every place in Hungary. To build up the whole emergency and traumatology network takes years and it is very expensive.
![Page 14: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/14.jpg)
26,2
25,5
26,9
24,5
25,0
25,5
26,0
26,5
27,0
WHOLE DATA DON'T DRIVES CAR CAR DRIVER
MEAN AGE
![Page 15: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/15.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
WHOLE DATA DON'TDRIVES CAR
CAR DRIVER
EDUCATION LEVEL
GROUND MIDLE HIGH
![Page 16: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/16.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
WHOLE DATA DON'T DRIVES CAR CAR DRIVER
SOCIALPOSITION
WRONG MIDLE GOOD
![Page 17: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/17.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
WHOLE DATA DON'T DRIVES CAR CAR DRIVER
PREGNANCY
1 1-3 >3
![Page 18: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/18.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
WHOLE DATA DON'T DRIVES CAR CAR DRIVER
GRAVIDITY AGE
1-3 MONTH 3-6MONTH MORE THAN 6 MONTH
![Page 19: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/19.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
WHOLE DATA DON'T DRIVES CAR CAR DRIVER
OPINION ABOUT THE SEAT BELT
USEFUL
UNCERTAIN
HARMFUL
![Page 20: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/20.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
WHOLE DATA DON'T DRIVES CAR CAR DRIVER
KNOWLEDGE ABOUT THE SEAT BELT USE
KNOW
PARTLY
DON'T KNOW
![Page 21: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/21.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
WHOLE DATA DON'T DRIVESCAR
CAR DRIVER
INFORMATION ABOUT THE SEAT BELT USE
HAVE INFORMATION
PARTLY
HAVEN'T INFORMATION
![Page 22: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/22.jpg)
0
20
40
60
80
100
120
140
160
PE
RS
ON
WHOLE DATA DON'T DRIVESCAR
CAR DRIVERS
INFORMATION SOURCE
HAVEN'T INFORMATION
FROM TV, RADIO OR JOURNALS
FROM A NURSE
FROM OUR GENERAL PRACTICIONER
FROM GYNECOLOGY SPECIALIST
AT SPECIAL EDUCATION COURS
ANOTHER
![Page 23: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/23.jpg)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
BEFORE THE PREGNANCY DURING THE PREGNANCY
DRIVING HABITS
DON'T DRIVES CAR RARELY DRIVES
![Page 24: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/24.jpg)
0
10
20
30
40
50
60
70
80
PE
RS
ON
BEFORE THEPREGNANCY
DURING THEPREGNANCY
SEAT BELT HABITS OF CAR DRIVERS
ALWAYS USESTHE SEAT BELT
RARELY USESTHE SEAT BELT
DON'T USES THE SEAT BELT
DON'T DRIVESCAR
![Page 25: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/25.jpg)
By the data of the literature and by our investigations we think at the field of the prevention the adequate education and information are the most important and promptly realizable. The costs of this work would be recovered soon and the benefit would be measurable by the growing number of the fetal and maternal survivors.
![Page 26: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/26.jpg)
Thank
you!
![Page 27: III. SLOVAK SURGICAL CONGRESS XXXIII. JOINT CONGRESS OF SLOVAK AND CZECH SURGEONS XXX. REIMAN’S DAYS SEPTEMBER 11 - 13, 2002 PREGNANT WOMEN IN CAR HAVE.](https://reader036.fdocuments.us/reader036/viewer/2022062518/56649cb15503460f949766e7/html5/thumbnails/27.jpg)