Maternal outcomes of pregnant patients after trauma: a retrospective study of the Trauma Registry of England and Wales.

INTRODUCTION: Trauma accounts for 20% of deaths in pregnant women. Injury characterisation and outcome in pregnant women following trauma is poorly described. To understand and inform optimum care of this key injury population, a study was conducted using the Trauma Audit Research Network (TARN) database. METHODS: In total, 341 pregnant and 26,774 non-pregnant female patients aged 15 to 46 years were identified for comparison from the TARN database. Mortality, cross-sectional imaging, blood product administration and EQ-5D scores were compared between the two groups. Mechanism of injury, Injury Severity Score (ISS) and mortality rate before and after the creation of regional trauma networks were reported for pregnant patients. RESULTS: Pregnancy was recorded in 1.3% (341/27,115) of included patients, with the most common cause of injury being road traffic collisions. A reduction in crude maternal mortality was observed over the course of the study period (7.3% to 2.9%). Baseline mean EQ-5D (0.47) and EQ-VAS (54.08) improved to 0.81 (p < 0.001) and 85.75 (p = 0.001), respectively, at 6 months following injury. CONCLUSION: The incidence of trauma in pregnancy is small and mortality in injured pregnant women decreased over the study period. Pregnant patients have significantly improved patient-reported outcome measures 6 months after injury although this is limited in impact because of poor response rates and outcome reporting. Construction and validation of tools aiding in outcome reporting will help considerably in understanding further gains in the care of pregnant women.

Enhancing Clay-Based 3D-Printed Mortars with Polymeric Mesh Reinforcement Techniques.

Additive manufacturing (AM) technologies, including 3D mortar printing (3DMP), 3D concrete printing (3DCP), and Liquid Deposition Modeling (LDM), offer significant advantages in construction. They reduce project time, costs, and resource requirements while enabling free design possibilities and automating construction processes, thereby reducing workplace accidents. However, AM faces challenges in achieving superior mechanical performance compared to traditional methods due to poor interlayer bonding and material anisotropies. This study aims to enhance structural properties in AM constructions by embedding 3D-printed polymeric meshes in clay-based mortars. Clay-based materials are chosen for their environmental benefits. The study uses meshes with optimal geometry from the literature, printed with three widely used polymeric materials in 3D printing applications (PLA, ABS, and PETG). To reinforce the mechanical properties of the printed specimens, the meshes were strategically placed in the interlayer direction during the 3D printing process. The results show that the 3D-printed specimens with meshes have improved flexural strength, validating the successful integration of these reinforcements.