Abstract
Background: The incidence of acute burn injuries in pregnant women is very low. Burn injuries during pregnancy are often associated with a high rate of fetal and maternal mortality and morbidity. There is a paucity of published data on the specific problems of burns in pregnancy, despite the high mortality for both the mother and the fetus. Aims and Objectives: This study we aimed to review the cases of acute burn during pregnancy and evaluate the outcome of these patients in West Bengal, India. Materials and Methods: This was hospital based retrospective study conducted at SSKM Hospital in collaboration with Dept of Plastic Surgery, West Bengal, India from April 2019 to March 2022. Total 141 pregnant women with thermal injuries were included in the study. Template was generated and analysis was done on SPSS software. Results: Among 141 pregnant women with thermal injuries maximum were in the age group of 21-25 years (39.7%). Mean Age of the patients were 16.75 years. Accidental Burn was 114 (80.9%). Maximum burn was during 2nd trimester 83 (58.9%). IUFD was present in 4 (2.8%) of burn mothers, septicemia was present in 23 (16.3%) and maternal death was present in 22 (15.6%) of the burn mothers. Maximum maternal deaths 6 (4.3%) was found in 74%TBSA cases. Almost 90 to 100% maternal deaths were found in 70% to 100% TBSA cases. maximum deaths were in the age group of 18.20 years. Maternal deaths in accidental burn was 18 (12.8%) and suicidal burn was 4 (2.8%). Conclusions: Maternal mortality is correlated to the percentage of the total burned area and inhalation injury. Burns in pregnant women have a profound effect on the fetal wellbeing, with a high rate of mortality especially in the first trimester.

Key words: Acute Burns, Pregnancy, Mortality