Abstract
Objective: The purpose of this study was to examine the association between restraint use, race, and perinatal outcome after motor vehicle accidents (MVAs) during pregnancy. Study Design: The Duke Trauma Registry and medical records were searched for information on pregnant women at >14 weeks' gestation who were involved in an MVA and who received care through the Emergency Department and the Obstetric Units. Between January 1994 and December 31, 2010, 126 women were identified. Variables that were collected included type of trauma, gestational age at presentation, and delivery outcomes. A prognostic study was performed that evaluated the associations between maternal demographics, details of the accident that included restraint use, and maternal treatment that was related to the accident in relationship to perinatal outcome. Results: There was no difference in the mean age or median gravidity or parity by race among pregnant women who were cared for after an MVA. There was no difference in mean age or racial distribution between women who were restrained compared with women who were unrestrained; unrestrained women were more likely to be nulliparous. Unrestrained women were more likely to require nonobstetric surgery that was related to the trauma. The overall rate of placental abruption was 6%. There were 6 intrauterine fetal deaths, 3 each in the unrestrained (25%) and restrained groups (3.5%; P =.018). Airbags deployed in 17 accidents. Among the 7 women with placenta abruption, 4 women (57%) experienced air bag deployment. Conclusion: Lack of restraint use during pregnancy is associated with an increased risk of fetal death.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 466.e1-466.e5 |
| Journal | American Journal of Obstetrics and Gynecology |
| Volume | 208 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jan 1 2013 |
| Externally published | Yes |
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Keywords
- accident
- perinatal outcome
- pregnancy
- restraint use
ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
Perinatal implications of motor vehicle accident trauma during pregnancy : Identifying populations at risk. / Luley, Tomas; Fitzpatrick, C. Brennan; Grotegut, Chad A.; Hocker, Michael Brian; Myers, Evan R.; Brown, Haywood L.
In: American Journal of Obstetrics and Gynecology, Vol. 208, No. 6, 01.01.2013, p. 466.e1-466.e5.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Perinatal implications of motor vehicle accident trauma during pregnancy
T2 - Identifying populations at risk
AU - Luley, Tomas
AU - Fitzpatrick, C. Brennan
AU - Grotegut, Chad A.
AU - Hocker, Michael Brian
AU - Myers, Evan R.
AU - Brown, Haywood L.
PY - 2013/1/1
Y1 - 2013/1/1
N2 - Objective: The purpose of this study was to examine the association between restraint use, race, and perinatal outcome after motor vehicle accidents (MVAs) during pregnancy. Study Design: The Duke Trauma Registry and medical records were searched for information on pregnant women at >14 weeks' gestation who were involved in an MVA and who received care through the Emergency Department and the Obstetric Units. Between January 1994 and December 31, 2010, 126 women were identified. Variables that were collected included type of trauma, gestational age at presentation, and delivery outcomes. A prognostic study was performed that evaluated the associations between maternal demographics, details of the accident that included restraint use, and maternal treatment that was related to the accident in relationship to perinatal outcome. Results: There was no difference in the mean age or median gravidity or parity by race among pregnant women who were cared for after an MVA. There was no difference in mean age or racial distribution between women who were restrained compared with women who were unrestrained; unrestrained women were more likely to be nulliparous. Unrestrained women were more likely to require nonobstetric surgery that was related to the trauma. The overall rate of placental abruption was 6%. There were 6 intrauterine fetal deaths, 3 each in the unrestrained (25%) and restrained groups (3.5%; P =.018). Airbags deployed in 17 accidents. Among the 7 women with placenta abruption, 4 women (57%) experienced air bag deployment. Conclusion: Lack of restraint use during pregnancy is associated with an increased risk of fetal death.
AB - Objective: The purpose of this study was to examine the association between restraint use, race, and perinatal outcome after motor vehicle accidents (MVAs) during pregnancy. Study Design: The Duke Trauma Registry and medical records were searched for information on pregnant women at >14 weeks' gestation who were involved in an MVA and who received care through the Emergency Department and the Obstetric Units. Between January 1994 and December 31, 2010, 126 women were identified. Variables that were collected included type of trauma, gestational age at presentation, and delivery outcomes. A prognostic study was performed that evaluated the associations between maternal demographics, details of the accident that included restraint use, and maternal treatment that was related to the accident in relationship to perinatal outcome. Results: There was no difference in the mean age or median gravidity or parity by race among pregnant women who were cared for after an MVA. There was no difference in mean age or racial distribution between women who were restrained compared with women who were unrestrained; unrestrained women were more likely to be nulliparous. Unrestrained women were more likely to require nonobstetric surgery that was related to the trauma. The overall rate of placental abruption was 6%. There were 6 intrauterine fetal deaths, 3 each in the unrestrained (25%) and restrained groups (3.5%; P =.018). Airbags deployed in 17 accidents. Among the 7 women with placenta abruption, 4 women (57%) experienced air bag deployment. Conclusion: Lack of restraint use during pregnancy is associated with an increased risk of fetal death.
KW - accident
KW - perinatal outcome
KW - pregnancy
KW - restraint use
UR - http://www.scopus.com/inward/record.url?scp=84878384815&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84878384815&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2013.02.032
DO - 10.1016/j.ajog.2013.02.032
M3 - Article
C2 - 23439323
AN - SCOPUS:84878384815
VL - 208
SP - 466.e1-466.e5
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 6
ER -