Does abdominal protrusion in pregnant women affect abdominal injury severity in motor vehicle collisions? A nationwide database study.

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Ayumu Kuwahara, Masahito Hitosugi, Arisa Takeda, Mami Nakamura
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引用次数: 0

Abstract

Aims: Some pregnant women avoid vehicle driving owing to the risk of contact between their protruding abdomen and steering wheel. This study was performed to determine whether abdominal protrusion in late-term pregnant car users affects the occurrence and severity of abdominal injuries in motor vehicle collisions using a national crash database.

Methods: The National Automotive Sampling System/Crashworthiness Data System was used to analyse maternal background, collision characteristics, outcome and Abbreviated Injury Scale (AIS) scores for the body regions of all persons involved in the collision.

Results: Comparison of pregnant and non-pregnant women in the driver's seat showed no significant differences in the rate of AIS scores of ≥2 (2+) for abdominal injuries and female outcomes. Comparison of use of the driver's seat and front passenger's seat by pregnant women showed no significant difference in rate of AIS 2+ injuries or in maternal and fetal outcomes. Comparison of pregnant women with a gestational age of ≤27 and >27 weeks in the driver's seat showed no significant differences in rate of AIS 2+ injuries or in maternal and fetal outcomes.

Conclusions: Based on the data from relatively low-speed frontal collisions, obstetrician/gynaecologists should advise pregnant women that they do not need to change their preferred car seat from the driver's seat to another seat because of fear of contact between their protruding abdomen and the vehicle interior.

孕妇腹部突出是否会影响机动车碰撞中腹部受伤的严重程度?一项全国性数据库研究。
目的:一些孕妇由于腹部突出和方向盘接触的风险而避免驾驶汽车。本研究利用全国碰撞数据库,确定晚期孕妇驾车时腹部突出是否会影响机动车碰撞中腹部受伤的发生率和严重程度:方法:使用全国汽车抽样系统/耐撞性数据系统分析孕产妇背景、碰撞特征、结果以及所有参与碰撞人员身体各区域的简易伤害量表(AIS)评分:孕妇和非孕妇在驾驶员座位上的比较显示,腹部损伤和女性结果的 AIS 评分≥2(2+)的比率没有显著差异。对孕妇使用驾驶员座位和前排乘客座位的情况进行比较后发现,在 AIS 2+ 损伤率或母体和胎儿结果方面没有明显差异。对孕龄≤27周和大于27周的孕妇坐在驾驶员座位上进行比较,结果表明在AIS 2+受伤率或母体和胎儿结局方面没有明显差异:根据相对低速正面碰撞的数据,妇产科医生应建议孕妇不必因为担心突出的腹部与车内接触而将首选的汽车座椅从驾驶座换到其他座位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.40
自引率
11.80%
发文量
165
审稿时长
4-8 weeks
期刊介绍: The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.
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