Maternal-Fetal Outcomes in Patients Involved in Motor Vehicle Accident: A Tertiary Center Experience

IF 1.8 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2025-02-01 DOI:10.1016/j.jss.2024.12.015

Zahid Agaoglu MD , Atakan Tanacan MD , Huseyin Kayaalp MD , Burhan Dursun MD , Betul Akgun Aktas MD , Ayse Gulcin Bastemur MD , Dilek Sahin MD

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引用次数: 0

Abstract

Introduction

To investigate the maternal and fetal outcomes of pregnant patients who were involved in a motor vehicle accident (MVA).

Materials and methods

This retrospective, single-center study was conducted at a tertiary care center. A total of 66 patients who experienced an MVA between November 2019 and February 2024 were included. The patients were divided into three groups based on the trimester during which the MVA occurred. Additionally, the patients were categorized into two groups according to whether they were wearing a seatbelt at the time of the MVA. The maternal and fetal outcomes of the patients were analyzed.

Results

The duration of hospitalization was longer among the patients in the third trimester during the MVA compared to the remaining trimester groups (P = 0.023). The same group also had significantly higher rates of placental abruption (P = 0.002) and blood transfusion (P < 0.001). The patients who were in the first trimester at the time of an MVA had a higher rate of abrasion (P = 0.004). The fifth-minute Apgar score was lower in the group not using a seatbelt (P = 0.035). The preterm birth rate was statistically significantly higher in the group not using seatbelts (P = 0.012). The rates of placental abruption and transfusion were also higher in the group not using seatbelts (P < 0.001).

Conclusions

Pregnant patients foregoing seatbelt use for any reason may face significant maternal-fetal morbidity and mortality risks during an MVA. We also observed that as gestational age advanced in pregnant patients experiencing MVA, maternal-fetal morbidity and mortality increased.

查看原文本刊更多论文

机动车事故患者的母胎结局：三级中心经验。

前言：探讨发生机动车事故（MVA）的孕妇的母胎结局。材料和方法：本回顾性单中心研究在三级保健中心进行。共有66名患者在2019年11月至2024年2月期间经历了MVA。根据MVA发生的三个月将患者分为三组。此外，根据患者在MVA时是否系安全带，将患者分为两组。分析患者的母胎结局。结果：MVA妊娠晚期患者住院时间较其他妊娠组更长（P = 0.023）。结论：在MVA期间，因任何原因放弃使用安全带的孕妇可能面临显著的母胎发病率和死亡率风险。我们还观察到，随着胎龄的增加，发生MVA的孕妇的母胎发病率和死亡率增加。

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

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.