PMID- 26356252
OWN - NLM
STAT- MEDLINE
DCOM- 20170117
LR  - 20170117
IS  - 1619-3997 (Electronic)
IS  - 0300-5577 (Linking)
VI  - 44
IP  - 3
DP  - 2016 Apr
TI  - Are pregnant women safer in motor vehicle accidents?
PG  - 329-32
LID - 10.1515/jpm-2015-0163 [doi]
AB  - OBJECTIVE: Motor vehicle accidents (MVAs) are a major incidental cause of 
      pregnancy-associated maternal deaths in the US. The goal of this research was to 
      evaluate the incidence, risks, and fetal and maternal outcomes of pregnant women 
      involved in MVAs. In addition, we examined the relationship between the injury 
      severity score (ISS) and car seat location in pregnant and non-pregnant women. 
      METHODS: This involved a retrospective cohort study of female patients who were 
      involved in MVAs and hospitalized between the years 2006 and 2013. Data were 
      collected from the Israeli National Trauma Registry. Severity and outcomes of 
      pregnant and non-pregnant women with blunt trauma were compared. RESULTS: In this 
      study, 3794 pregnant and 3441 non-pregnant patients aged 18-40 years were 
      analyzed. The majority of pregnant patients were drivers (n=2515, 67%) as opposed 
      to passengers (n=1279, 33%). Pregnant patients had lower ISS than non-pregnant 
      patients (P<0.001). Out of these pregnant patients, 38 (1%) had adverse 
      maternal-fetal pregnancy outcomes, including (1) placental abruption 0.1% and (2) 
      miscarriage (0.2%). One pregnant patient died (0.03%) compared with 32 (0.93%) of 
      the non-pregnant patients (P<0.0001). A significant negative correlation between 
      gestational age and spontaneous abortion was found (P<0.009). CONCLUSIONS: The 
      severity of injury and the mortality rate of pregnant patients involved in MVAs 
      are significantly lower compared with non-pregnant patients. Pregnant drivers had 
      a significantly lower severity of trauma compared with pregnant passengers.
FAU - Miller, Netanella
AU  - Miller N
FAU - Biron-Shental, Tal
AU  - Biron-Shental T
FAU - Peleg, Kobi
AU  - Peleg K
FAU - Fishman, Ami
AU  - Fishman A
FAU - Olsha, Oded
AU  - Olsha O
FAU - Givon, Adi
AU  - Givon A
FAU - Kessel, Boris
AU  - Kessel B
LA  - eng
PT  - Journal Article
PL  - Germany
TA  - J Perinat Med
JT  - Journal of perinatal medicine
JID - 0361031
SB  - IM
MH  - *Accidents, Traffic/mortality
MH  - Adolescent
MH  - Adult
MH  - Automobile Driving
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Israel/epidemiology
MH  - Maternal Mortality
MH  - Pregnancy
MH  - Pregnancy Complications/*etiology/mortality
MH  - Pregnancy Outcome
MH  - Retrospective Studies
MH  - Trauma Severity Indices
MH  - Wounds and Injuries/*complications/etiology/mortality
MH  - Young Adult
EDAT- 2015/09/12 06:00
MHDA- 2017/01/18 06:00
CRDT- 2015/09/11 06:00
PHST- 2015/05/17 00:00 [received]
PHST- 2015/07/29 00:00 [accepted]
PHST- 2015/09/11 06:00 [entrez]
PHST- 2015/09/12 06:00 [pubmed]
PHST- 2017/01/18 06:00 [medline]
AID - /j/jpme.ahead-of-print/jpm-2015-0163/jpm-2015-0163.xml [pii]
AID - 10.1515/jpm-2015-0163 [doi]
PST - ppublish
SO  - J Perinat Med. 2016 Apr;44(3):329-32. doi: 10.1515/jpm-2015-0163.