• H Trentzsch, A Weißleder, T Annecke, D Beinkofer, A Beese, M Kulla, K Kraft, U Pecks, F Hoffmann, D Bieler, and Sektion Notfall‑, Intensivmedizin und Schwerverletztenversorgung (NIS) der Deutschen Gesellschaft für Unfallchirurgie (DGU).
• Institut für Notfallmedizin und Medizinmanagement (INM), Klinikum der Universität München, LMU München, Schillerstr. 53, 80336, München, Deutschland. heiko.Trentzsch@med.uni-muenchen.de.
• Unfallchirurg. 2020 Dec 1; 123 (12): 954960954-960.

BackgroundLife-threatening injuries during pregnancy are a rare occurrence. The TraumaRegister DGU® (TR-DGU) has been recording whether seriously injured women were pregnant since 2016. This information is not sufficient to enable a differentiated assessment of the quality of care because parameters, such as gestational age, state of pregnancy at discharge and survival of the child are missing. The TraumaRegister working group of the committee on emergency medicine, intensive care and severe trauma management (section NIS) of the German Trauma Society (DGU) therefore came to the conclusion that the fetal outcome or the intactness of the pregnancy after acute treatment is an important measure of the quality of care of pregnant women. They commissioned a task force to work out a suitable data set for a better analysis of such cases. This article presents the so-called fetus module in detail.MethodsThe data set was developed in an interdisciplinary process together with accredited experts from the German Society for Gynecology and Obstetrics (DGGG), the German Society for Perinatal Medicine (DGPM) and the Society for Neonatology and Pediatric Intensive Care Medicine (GNPI).ResultsThe fetus module comprises 20 parameters describing the pregnancy, the condition of the mother and child on admission and discharge.ConclusionThe fetus module will provide important data to make the process and outcome quality of care of severely injured pregnant women measurable and to develop prognostic instruments with which predictions about high-risk constellations for the outcome of mother and child can be made.

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