Complications during Pregnancy after Abdominal Burn Scars: A Review

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-01-25 DOI:10.3390/ebj4010005

Zosha J. van Gelder, Annabel Snoeks, P. V. van Zuijlen, R. de Vries, A. Pijpe

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引用次数: 0

Abstract

Over the past decades, long-term sequelae of burns have gained increasing attention. Women of childbearing age, who sustained abdominal burns earlier in life, may have unmet information needs on scar-related complications they can expect during pregnancy. We performed a review of the literature to identify abdominal, foetal, and potential other complications during pregnancy in women with abdominal burn scars. PubMed, Embase, and Scopus were searched from inception to 1 July 2020 and updated once on 23 April 2021 (PROSPERO CRD42022187883). Main search terms included pregnancy, scar, burns, and abdominal. Studies on burns obtained during pregnancy have been excluded. Screening, data extraction and bias assessment were conducted by two investigators. We included 22 studies comprising 217 patients. The time between burn injury and first pregnancy varied between 7 and 32 years. Most of the women had normal pregnancies regarding delivery mode and duration of pregnancy. The most reported abdominal burn scar complications were an increased feeling of tightness, itch, pain, and scar breakdown. In some cases, scar release surgery was performed during or prior to pregnancy. Some cases of foetal complications were described. Complications during pregnancy after abdominal burn scars may be limited. More quantitative and qualitative research is needed to assess the maternal and foetal outcomes and complications. The results may be used to inform women and contribute to personalised obstetric management.

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妊娠期腹部烧伤后的并发症综述

在过去的几十年里，烧伤的长期后遗症越来越受到人们的关注。早期腹部烧伤的育龄妇女在怀孕期间可能对疤痕相关并发症的信息需求未得到满足。我们对文献进行了回顾，以确定腹部烧伤疤痕妇女在怀孕期间的腹部、胎儿和潜在的其他并发症。PubMed、Embase和Scopus从创建到2020年7月1日进行检索，并于2021年4月23日更新一次(PROSPERO CRD42022187883)。主要搜索词包括怀孕、疤痕、烧伤和腹部。怀孕期间烧伤的研究被排除在外。筛选、数据提取和偏倚评估由两名研究者进行。我们纳入了22项研究，共217例患者。从烧伤到第一次怀孕的时间从7年到32年不等。就分娩方式和怀孕时间而言，大多数妇女怀孕正常。报告最多的腹部烧伤疤痕并发症是紧绷感增加，瘙痒，疼痛和疤痕破裂。在某些情况下，疤痕释放手术在怀孕期间或之前进行。介绍了一些胎儿并发症的病例。妊娠期间腹部烧伤后的并发症可能有限。需要更多的定量和定性研究来评估母婴结局和并发症。结果可用于告知妇女和有助于个性化的产科管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.