TRAUMA IN PREGNANCY - NORMAL REVISED TRAUMA SCORE IN RELATION TO OTHER MARKERS OF MATERNOFETAL STATUS - A PRELIMINARY-STUDY

OBJECTIVE: Our goal was to examine whether a correlation exists betwee n the Revised Trauma Score assigned on admission and pregnancy outcome , as well as whether the Revised Trauma Score has any predictive value for optimal duration of cardiotocographic monitoring necessary to det ect immediate adverse pregnancy outcome. STUDY DESIGN: A retrospective chart review was performed of 30 pregnant trauma patients admitted du ring a 1-year period. Evaluation of cardiotocographic data for either contractions or decelerations or both was performed without knowledge of Revised Trauma Score or maternofetal outcome at discharge. RESULTS: Review of uterine activity and fetal decelerations did not detect use ful predictive patterns unless the tracing was immediately ominous, al though uterine activity did initially decrease over time. CONCLUSIONS: The Revised Trauma Score lacks predictive value for both risk of adve rse pregnancy outcome and need for prolonged cardiotocographic monitor ing. A larger patient population needs to be studied for an accurate d etermination of whether the Revised Trauma Score has potential as a pr edictive tool.