Original ArticlesPregnant Women Injured in Terror-Related Multiple Casualty Incidents: Injuries and OutcomesSela, Hen Y. MD; Shveiky, David MD; Laufer, Neri MD; Hersch, Moshe MSc, MD; Einav, Sharon MDAuthor Information From the Department of Obstetrics and Gynecology (H.Y.S., D.S., N.L.), Hadassah Hebrew University Medical Center; and the Intensive Care Unit of the Shaare Zedek Medical Center (M.H., S.E.), Faculty of Health Sciences of the Ben-Gurion University, Jerusalem, Israel. Submitted for publication May 31, 2006. Accepted for publication December 14, 2006. Address for reprints: Hen Y. Sela, MD, Department of Obstetrics and Gynecology, Hadassah Hebrew University Medical Center, POB 12000, Jerusalem 91120, Israel; email: firstname.lastname@example.org. The Journal of Trauma: Injury, Infection, and Critical Care: March 2008 - Volume 64 - Issue 3 - p 727-732 doi: 10.1097/TA.0b013e3180340e0a Buy Metrics Abstract Objective: To characterize the injuries incurred by involvement in terror-related multiple casualty incidents (TR-MCIs) during pregnancy and describe the maternal and fetal outcomes. Methods: Retrospective (January 1, 2001–December 31, 2003), descriptive, multicenter study of all pregnant women injured in TR-MCIs. Results: Twelve pregnant women (singletons, gestational age 20.6 ± 10.5 weeks) who were injured during the study period. One victim was intubated on location of the event, another was hemodynamically compromised upon arrival. All women survived. Seven women required surgical intervention with general anesthesia. Four of the five women with viable pregnancies required cesarean delivery within minutes to hours of arrival. Three of these fetuses were delivered in extremis and one died. Conclusions: Women with a viable pregnancy who have been injured in TR-MCIs have a high incidence of surgical procedures and a high likelihood of undergoing cesarean delivery within minutes to hours of injury. Fetal outcome may be poor under these circumstances. © 2008 Lippincott Williams & Wilkins, Inc.