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Fetal outcome in motor-vehicle crashes: effects of crash characteristics and maternal restraint.
Am J Obstet Gynecol. 2008 Apr; 198(4):450.e1-9.AJ

Abstract

OBJECTIVE

This project was undertaken to improve understanding of factors associated with adverse fetal outcomes of pregnant occupants involved in motor-vehicle crashes.

STUDY DESIGN

In-depth investigations of crashes involving 57 pregnant occupants were performed. Maternal and fetal injuries, restraint information, measures of external and internal vehicle damage, and details about the crash circumstances were collected. Crash severity was calculated using vehicle crush measurements. Chi-square analysis and logistic regression models were used to determine factors with a significant association with fetal outcome.

RESULTS

Fetal outcome is most strongly associated with crash severity (P < .001) and maternal injury (P = .002). Proper maternal belt-restraint use (with or without airbag deployment) is associated with acceptable fetal outcome (odds ratio = 4.5, P = .033). Approximately half of fetal losses in motor-vehicle crashes could be prevented if all pregnant women properly wore seat belts.

CONCLUSION

Higher crash severity, more severe maternal injury, and lack of proper seat belt use are associated with a higher risk of adverse fetal outcome. These results strongly support recommendations that pregnant women use properly positioned seatbelts.

Authors+Show Affiliations

University of Michigan Transportation Research Institute, Ann Arbor, MI, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

18395036

Citation

Klinich, Kathleen DeSantis, et al. "Fetal Outcome in Motor-vehicle Crashes: Effects of Crash Characteristics and Maternal Restraint." American Journal of Obstetrics and Gynecology, vol. 198, no. 4, 2008, pp. 450.e1-9.
Klinich KD, Flannagan CA, Rupp JD, et al. Fetal outcome in motor-vehicle crashes: effects of crash characteristics and maternal restraint. Am J Obstet Gynecol. 2008;198(4):450.e1-9.
Klinich, K. D., Flannagan, C. A., Rupp, J. D., Sochor, M., Schneider, L. W., & Pearlman, M. D. (2008). Fetal outcome in motor-vehicle crashes: effects of crash characteristics and maternal restraint. American Journal of Obstetrics and Gynecology, 198(4), e1-9. https://doi.org/10.1016/j.ajog.2008.02.009
Klinich KD, et al. Fetal Outcome in Motor-vehicle Crashes: Effects of Crash Characteristics and Maternal Restraint. Am J Obstet Gynecol. 2008;198(4):450.e1-9. PubMed PMID: 18395036.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fetal outcome in motor-vehicle crashes: effects of crash characteristics and maternal restraint. AU - Klinich,Kathleen DeSantis, AU - Flannagan,Carol A C, AU - Rupp,Jonathan D, AU - Sochor,Mark, AU - Schneider,Lawrence W, AU - Pearlman,Mark D, PY - 2007/04/18/received PY - 2007/11/25/revised PY - 2008/02/01/accepted PY - 2008/4/9/pubmed PY - 2008/5/28/medline PY - 2008/4/9/entrez SP - 450.e1 EP - 9 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 198 IS - 4 N2 - OBJECTIVE: This project was undertaken to improve understanding of factors associated with adverse fetal outcomes of pregnant occupants involved in motor-vehicle crashes. STUDY DESIGN: In-depth investigations of crashes involving 57 pregnant occupants were performed. Maternal and fetal injuries, restraint information, measures of external and internal vehicle damage, and details about the crash circumstances were collected. Crash severity was calculated using vehicle crush measurements. Chi-square analysis and logistic regression models were used to determine factors with a significant association with fetal outcome. RESULTS: Fetal outcome is most strongly associated with crash severity (P < .001) and maternal injury (P = .002). Proper maternal belt-restraint use (with or without airbag deployment) is associated with acceptable fetal outcome (odds ratio = 4.5, P = .033). Approximately half of fetal losses in motor-vehicle crashes could be prevented if all pregnant women properly wore seat belts. CONCLUSION: Higher crash severity, more severe maternal injury, and lack of proper seat belt use are associated with a higher risk of adverse fetal outcome. These results strongly support recommendations that pregnant women use properly positioned seatbelts. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/18395036/Fetal_outcome_in_motor_vehicle_crashes:_effects_of_crash_characteristics_and_maternal_restraint_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(08)00145-2 DB - PRIME DP - Unbound Medicine ER -