Skip to main content
Journal cover image

Perinatal implications of motor vehicle accident trauma during pregnancy: identifying populations at risk.

Publication ,  Journal Article
Luley, T; Fitzpatrick, CB; Grotegut, CA; Hocker, MB; Myers, ER; Brown, HL
Published in: Am J Obstet Gynecol
June 2013

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

June 2013

Volume

208

Issue

6

Start / End Page

466.e1 / 466.e5

Location

United States

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Seat Belts
  • Risk Factors
  • Registries
  • Racial Groups
  • Pregnancy Outcome
  • Pregnancy Complications
  • Pregnancy
  • Obstetrics & Reproductive Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Luley, T., Fitzpatrick, C. B., Grotegut, C. A., Hocker, M. B., Myers, E. R., & Brown, H. L. (2013). Perinatal implications of motor vehicle accident trauma during pregnancy: identifying populations at risk. Am J Obstet Gynecol, 208(6), 466.e1-466.e5. https://doi.org/10.1016/j.ajog.2013.02.032
Luley, Tomas, C Brennan Fitzpatrick, Chad A. Grotegut, Michael B. Hocker, Evan R. Myers, and Haywood L. Brown. “Perinatal implications of motor vehicle accident trauma during pregnancy: identifying populations at risk.Am J Obstet Gynecol 208, no. 6 (June 2013): 466.e1-466.e5. https://doi.org/10.1016/j.ajog.2013.02.032.
Luley T, Fitzpatrick CB, Grotegut CA, Hocker MB, Myers ER, Brown HL. Perinatal implications of motor vehicle accident trauma during pregnancy: identifying populations at risk. Am J Obstet Gynecol. 2013 Jun;208(6):466.e1-466.e5.
Luley, Tomas, et al. “Perinatal implications of motor vehicle accident trauma during pregnancy: identifying populations at risk.Am J Obstet Gynecol, vol. 208, no. 6, June 2013, pp. 466.e1-466.e5. Pubmed, doi:10.1016/j.ajog.2013.02.032.
Luley T, Fitzpatrick CB, Grotegut CA, Hocker MB, Myers ER, Brown HL. Perinatal implications of motor vehicle accident trauma during pregnancy: identifying populations at risk. Am J Obstet Gynecol. 2013 Jun;208(6):466.e1-466.e5.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

June 2013

Volume

208

Issue

6

Start / End Page

466.e1 / 466.e5

Location

United States

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Seat Belts
  • Risk Factors
  • Registries
  • Racial Groups
  • Pregnancy Outcome
  • Pregnancy Complications
  • Pregnancy
  • Obstetrics & Reproductive Medicine