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Pregnancy outcomes following hospitalization for motor vehicle crashes in Washington State from 1989 to 2001.
Am J Epidemiol. 2005 Mar 15; 161(6):503-10.AJ

Abstract

This retrospective cohort study evaluated the risk of adverse pregnancy outcomes following motor vehicle crashes during pregnancy. The authors assessed outcomes of pregnant women hospitalized for motor vehicle crashes in Washington State from 1989 to 2001 (n = 582). They used the Injury Severity Score (ISS) to classify 84 severely injured (ISS > or =9), 309 non-severely injured (ISS 1-8), and 189 uninjured (ISS 0) pregnant women and compared them with pregnant women who had not been hospitalized for a motor vehicle crash (n = 17,274). Of pregnant women in motor vehicle crashes, 82.9% were hospitalized and discharged without delivering, and 17.1% delivered at hospitalization. Compared with women not in motor vehicle crashes, severely and non-severely injured women were at increased risk of placental abruption and cesarean delivery, and their infants were at increased risk of respiratory distress syndrome and fetal death. Uninjured women were also at increased risk of preterm labor (relative risk = 7.9, 95% confidence interval: 6.4, 9.8) and placental abruption (relative risk = 6.6, 95% confidence interval: 3.9, 11.2) compared with women not in motor vehicle crashes. Pregnant women hospitalized following motor vehicle crashes are at increased risk of adverse pregnancy outcomes, regardless of the presence or severity of injuries.

Authors+Show Affiliations

Harborview Injury Prevention and Research Center, 325 Ninth Avenue, Box 359960, Seattle, WA 98104, USA. mschiff@u.washington.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15746466

Citation

Schiff, Melissa A., and Victoria L. Holt. "Pregnancy Outcomes Following Hospitalization for Motor Vehicle Crashes in Washington State From 1989 to 2001." American Journal of Epidemiology, vol. 161, no. 6, 2005, pp. 503-10.
Schiff MA, Holt VL. Pregnancy outcomes following hospitalization for motor vehicle crashes in Washington State from 1989 to 2001. Am J Epidemiol. 2005;161(6):503-10.
Schiff, M. A., & Holt, V. L. (2005). Pregnancy outcomes following hospitalization for motor vehicle crashes in Washington State from 1989 to 2001. American Journal of Epidemiology, 161(6), 503-10.
Schiff MA, Holt VL. Pregnancy Outcomes Following Hospitalization for Motor Vehicle Crashes in Washington State From 1989 to 2001. Am J Epidemiol. 2005 Mar 15;161(6):503-10. PubMed PMID: 15746466.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pregnancy outcomes following hospitalization for motor vehicle crashes in Washington State from 1989 to 2001. AU - Schiff,Melissa A, AU - Holt,Victoria L, PY - 2005/3/5/pubmed PY - 2005/4/6/medline PY - 2005/3/5/entrez SP - 503 EP - 10 JF - American journal of epidemiology JO - Am J Epidemiol VL - 161 IS - 6 N2 - This retrospective cohort study evaluated the risk of adverse pregnancy outcomes following motor vehicle crashes during pregnancy. The authors assessed outcomes of pregnant women hospitalized for motor vehicle crashes in Washington State from 1989 to 2001 (n = 582). They used the Injury Severity Score (ISS) to classify 84 severely injured (ISS > or =9), 309 non-severely injured (ISS 1-8), and 189 uninjured (ISS 0) pregnant women and compared them with pregnant women who had not been hospitalized for a motor vehicle crash (n = 17,274). Of pregnant women in motor vehicle crashes, 82.9% were hospitalized and discharged without delivering, and 17.1% delivered at hospitalization. Compared with women not in motor vehicle crashes, severely and non-severely injured women were at increased risk of placental abruption and cesarean delivery, and their infants were at increased risk of respiratory distress syndrome and fetal death. Uninjured women were also at increased risk of preterm labor (relative risk = 7.9, 95% confidence interval: 6.4, 9.8) and placental abruption (relative risk = 6.6, 95% confidence interval: 3.9, 11.2) compared with women not in motor vehicle crashes. Pregnant women hospitalized following motor vehicle crashes are at increased risk of adverse pregnancy outcomes, regardless of the presence or severity of injuries. SN - 0002-9262 UR - https://www.unboundmedicine.com/medline/citation/15746466/Pregnancy_outcomes_following_hospitalization_for_motor_vehicle_crashes_in_Washington_State_from_1989_to_2001_ L2 - https://academic.oup.com/aje/article-lookup/doi/10.1093/aje/kwi078 DB - PRIME DP - Unbound Medicine ER -