↓ Figure 1. Flow diagram outlining cohort selection.
| Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc |
| Journal website https://jcgo.elmerpub.com |
Original Article
Volume 15, Number 2, June 2026, pages 55-61
Incidence and Maternal Outcomes After Emergency Department Hysterotomy in the Setting of Trauma
Figures
Tables
| EMS: emergency medical services. | |
| Arrival method | |
| Ground EMS | 83% (118) |
| Helicopter EMS | 10% (14) |
| Private vehicle | 5% (7) |
| Other | 2% (3) |
| Interfacility transfer | 8% (11) |
| Prehospital arrest | 14% (20) |
| Arrival vital signs | |
| Shock index | 0.8 (0.6–1.1) |
| Glasgow coma scale | 15 (6–15) |
| Respiratory assistance | 13% (18) |
| Mechanism of injury | |
| Collision | 77% (110) |
| Fall | 6% (9) |
| Firearm | 15% (21) |
| Other | 1% (2) |
| Composite injury severity score | 19 (9–29) |
| Injury by body region | |
| Head/neck | 39% (56) |
| Face | 8% (12) |
| Thorax | 42% (60) |
| Abdomen | 65% (93) |
| Extremities | 51% (72) |
| Skin | 68% (97) |
| Outcome | |
| 24-h survival | 75% (107) |
| Hospital survival | 75% (107) |
| No. | Age | Signs of life on arrival | Thoracotomy start time (min) | Mechanism of injury | RH start time | Concomitant procedures | ISS | 4-h blood products (mL) | Outcome |
|---|---|---|---|---|---|---|---|---|---|
| CPR: cardiopulmonary resuscitation; ED: emergency department; ISS: injury severity score; OR: operating room; REBOA: resuscitative endovascular balloon occlusion of the aorta; RH: resuscitative hysterotomy. | |||||||||
| 1 | 19 | No | 55 | Fall | 46 | CPR, intubated | 34 | 15,482 | Died on day 4 |
| 2 | 25 | No | 2 | Firearm | 16 | CPR, intubated | 17 | 1,000 | Died in ED |
| 3 | 20 | Yes | 10 | Collision | 6 | CPR, intubated | 75 | 2,350 | Died in ED |
| 4 | 23 | No | 9 | Collision | 24 | CPR | 75 | 29,500 | Died in OR |
| 5 | 33 | Yes | 6 | Collision | 6 | CPR, REBOA at 11 min | 43 | 0 | Died in ED |
| 6 | 33 | Yes | 5 | Collision | 13 | CPR, intubated | 9 | 2,882 | Died in ED |