Traumatismul femeilor gravide este intilnit in 7%, 4 gravide din 1000 spitalizari. Accidentele rutiere constituie peste 50%. In structura leziunilor femeilor insarcinate caderile ocupa 11-79%, ceea ce se datoreaza mersului instabil, deplasarii centrului de greutate, slabirii ligamentelor si articulatiilor. Scopul: Analiza structurii etiologice a traumatismelor la gravide in grupul de cercetare. Material si metode: Studiate rezultatele tratamentului complex si individual al 47 gravide cu trauma. Varsta 27,77?5,57 ani. Investigatii: examenul clinic, de laborator, ginecologic; chirurgical, ortopedic, USG, radiografie, CT, etc. Studiul realizat in cadrul proiectului Agentiei NCercetareD nr. 20.80009.8007.11. Rezultate: Cauzele traumatismului: accidente rutiere 21(44,68%), din ele 5 pietoni, 16 pasageri auto; caderi de la inaltimea corpului 13(27,65%), agresiune fizica 7(14,89%), traumatism la nastere 6(12,76%). In traumele dupa accidente constatate: fracturi grilajului costal (n=3), fractura bazinului tip A (n=3), tip C (n=1), fracturile osului sacral (n=2), femurului (n=5); traumatismul inchis al abdomenului cu contuzie peretelui abdominal (n=12), cu leziunea vezicii urinare (n=1), placenta previa (n=7), hemoragii intrauterine (n=2). La 15 gravide sarcina a fost pastrata. In traumatismul prin cadere de la inaltimea corpului 13(27,65%): contuzie tesuturilor moi (n=9), comotie cerebrala (n=3), fara influenta negativa asupra fatului. Dupa agresiune fizica 7(14,89%) s-a constat: comotie cerebrala (n=7), la 6 sarcina pastrata. Trauma in timpul nasterii - diastaza simfizei pubiane 6(12,76%), pacientele tratate, copii vii. Concluzie: Activitatea continue a femeilor gravide in viata sociala determina structura etiologica a traumatismelor la gravide: accidente rutiere 21(44,68%), accidente la domiciliu 13(27,65%), acte de violenta 7(14,89%). Principala cauza a traumatismelor gravidelor raman accidentele de circulatie

The trauma of pregnant occurs in 7%, 4 pregnant out of 1000 hospitalizations. Road accidents constitute over 50%. In the structure of injuries of pregnant, falls occupy 11-79%, which is due to unstable walking, displacement of the center of gravity, weakening of ligaments and joints. Aim: Analysis of the etiological structure of trauma in pregnant in the research group. Material and methods: The results of the complex and individual treatment of 47 pregnant women with trauma were studied. Age 27,77?5,57. Investigations: clinical, laboratory, gynecological; surgical, orthopedic examination, USG, radiography, CT. The study carried out within the project of AgencyNCercetareD no.20.80009.8007.11. Results: Causes of trauma: road accidents 21(44,68%), of them 5 pedestrians, 16 car passengers; falls from body height 13(27,65%), physical aggression 7(14,89%), birth trauma 6(12,76%). In traumas after accidents: rib cage fractures (n=3), pelvic fracture type A(n=3), type C(n=1), fractures of the sacral bone(n=2), femur(n=5); closed trauma of the abdomen (n=12), with bladder injury(n=1), placenta previa(n=7), intrauterine hemorrhages(n=2). In 15 pregnants, the pregnancy was preserved. In trauma by falling from a height of the body 13(27,65%): contusion of soft tissues(n=9), concussion(n=3), without negative influence on the fetus. After physical aggression 7(14,89%) found: concussion(n=7), in 6 the pregnancy was preserved. Trauma during childbirth - diastasis of pubic symphysis 6(12,76%), treated patients, live children. Conclusion: The continuous activity of pregnant in social life determines the etiological structure of trauma in pregnant women: road accidents 21(44,68%), accidents at home 13(27,65%), acts of violence 7(14,89%). Traffic accidents remain the main cause of serious injuries.