Epidemiologic and Clinical Characteristics and Outcome of Scorpion stings During Pregnancy in Sanlıurfa
Sinan Ateş1, Mahmut Alp Karahan2, Nuray Altay2, Kazım Akelçi3, Nagehan İkiz4, Bülent Güzel5, Mandeley Wilhelmina Özer6, Hacı Durmuş Yılmaz7
1Department Of Obstetrics And Gynecology,uzunkopru State Hospital, Edirne
2Department Of Anesthesiology And Reanimation, Harran University Medical Faculty, Sanliurfa
3Department Of Anesthesiology And Reanimation,şanlıurfa Suruç State Hospital
4Department Of Obstetrics And Gynecology,şanlıurfa Suruç State Hospital
5Department Of Pediatrics, Şanlıurfa Suruç State Hospital 6Department Of Emergency,şanlıurfa Suruç State Hospital 7Department Of Emergency,tekırdag Sarköy State Hospital
BACKGROUND AND AIM: Scorpion stings remain a serious health problem in many parts of the world.There is very limited information regarding the effects of therapies delivered for scorpion stings in pregnant women on the mother and fetus(1).They can cause acute conditions such as fetal loss, preterm delivery, or placental abnormalities and can also result in other conditions that may have an effect on the baby in the long term(2).The aim of this study is to investigate and analyse pregnant women who are exposed to scorpion sting.
MATERIAL AND METHODS: In this study the medical records of 22 pregnant women who were admitted to the emergency room at Suruc State Hospital due to scorpion stings between January 1, 2013 and January 1, 2014 were retrospectively reviewed.Age, gestational week, monthly distribution of the cases, type of delivery, status of the fetus, affected body sites, and local and systemic findings were evaluated.The clinical severity of each case was assessed using Abroug's classification. A fetal biophysical profile test was administered in pregnant women above 24 weeks of gestation.The newborns underwent follow-up for mental and motor functions in the pediatric department at three-month intervals for 12 months
RESULTS AND DISCUSSION: 22 patients, with a mean age of 26.1±2.39 years,were included in the study.The most common region stung by scorpions was Lower extremity (58,3%).The most common symptom occurred in cases was immediate localized pain(58 %).In terms of gestational age,41,6% of scorpion sting were within the third trimester.Biophysical profile scores were 8 and above.Symptomatic treatment was done to the patients. The type of delivery was cesarean section in one patient and normal vaginal delivery in the remaining patients. In this study, there was no death.
CONCLUSION(S): Pregnancy women were identified as highrisk group of scorpion sting in our geographic area. Although uncommon, scorpion stings during pregnancy may have significant adverse effects on the fetus and the mother.
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