PMID- 23439323
OWN - NLM
STAT- MEDLINE
DCOM- 20130808
LR  - 20211203
IS  - 1097-6868 (Electronic)
IS  - 0002-9378 (Linking)
VI  - 208
IP  - 6
DP  - 2013 Jun
TI  - Perinatal implications of motor vehicle accident trauma during pregnancy: 
      identifying populations at risk.
PG  - 466.e1-5
LID - S0002-9378(13)00227-5 [pii]
LID - 10.1016/j.ajog.2013.02.032 [doi]
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.
CI  - Copyright (c) 2013 Mosby, Inc. All rights reserved.
FAU - Luley, Tomas
AU  - Luley T
AD  - Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, 
      NC, USA.
FAU - Fitzpatrick, C Brennan
AU  - Fitzpatrick CB
FAU - Grotegut, Chad A
AU  - Grotegut CA
FAU - Hocker, Michael B
AU  - Hocker MB
FAU - Myers, Evan R
AU  - Myers ER
FAU - Brown, Haywood L
AU  - Brown HL
LA  - eng
PT  - Journal Article
DEP - 20130221
PL  - United States
TA  - Am J Obstet Gynecol
JT  - American journal of obstetrics and gynecology
JID - 0370476
SB  - IM
MH  - Abruptio Placentae/epidemiology/ethnology/etiology
MH  - Accidents, Traffic/*statistics & numerical data
MH  - Adolescent
MH  - Adult
MH  - Air Bags/adverse effects/statistics & numerical data
MH  - Female
MH  - Fetal Death/epidemiology/ethnology/etiology
MH  - Humans
MH  - Medical Records
MH  - Motor Vehicles
MH  - Pregnancy
MH  - *Pregnancy Complications
MH  - Pregnancy Outcome
MH  - Racial Groups
MH  - Registries
MH  - Risk Factors
MH  - Seat Belts/*statistics & numerical data
MH  - Wounds and Injuries/complications/*epidemiology/ethnology
MH  - Young Adult
EDAT- 2013/02/27 06:00
MHDA- 2013/08/09 06:00
CRDT- 2013/02/27 06:00
PHST- 2012/12/11 00:00 [received]
PHST- 2013/01/02 00:00 [revised]
PHST- 2013/02/20 00:00 [accepted]
PHST- 2013/02/27 06:00 [entrez]
PHST- 2013/02/27 06:00 [pubmed]
PHST- 2013/08/09 06:00 [medline]
AID - S0002-9378(13)00227-5 [pii]
AID - 10.1016/j.ajog.2013.02.032 [doi]
PST - ppublish
SO  - Am J Obstet Gynecol. 2013 Jun;208(6):466.e1-5. doi: 10.1016/j.ajog.2013.02.032. 
      Epub 2013 Feb 21.