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Experience in management of burn injury during pregnancy in a Burn Unit.

INTRODUCTION
Burns injuries during pregnancy are rarely reported in developed countries, but an increasing in mortality and morbidity has been observed. The authors describe their experience in the treatment of pregnant women in a Burn Unit.


MATERIALS AND METHODS
A 12-year retrospective study of burns in pregnant women hospitalized was conducted.


RESULTS
Since 2008, two pregnant women were admitted in our Unit. Patient 1, a 32 years old pregnant woman on second trimester (27s6d), suffered a second degree burn injury, 16% TBSA) caused by fire. She was admitted in our burn unit and submitted to medical treatment, wound dressing and surgical treatment. Cerium nitrate and silver sulfadiazine was used in burn lesions and the patient was submitted to debridement and skin graft surgery. No uneventful events occurred with the fetus. Patient 2 was a 32 years old pregnant woman on second trimester (26s), HVC positive, admitted with a second-degree flash burn, 8% TBSA. She was submitted to endotracheal intubation before arriving to the hospital due to risk of airway burn. Dexamethasone was administered for fetus lung maturation. No uneventful events were observed.


CONCLUSION
The incidence of thermal injury in pregnancy in Portugal is low. Active medical treatment together with conservative wound care should be the standard in each trimester of pregnancy. Although limited safety information on cerium nitrate or silver sulfadiazine during pregnancy, those were used with no side effects on one of our patients. Obstetrical management should be individualized.