Pregnant women's experiences and perceptions of seat belt education: assessing the impact of maternity seat belt safety interventions.

Objective: Trauma is one of the leading causes of obstetric morbidity and mortality, and incorrect seat belt use is a major determinant of adverse outcomes. This study evaluated the impact of structured education on proper seat belt use during pregnancy and examined preferences for future interventions.

Methods: This prospective pilot study was conducted at a single center in Korea, over an 8-week period. Pregnant women at <37 weeks of gestation who visited the outpatient obstetrics and gynecology department were enrolled. A pre-education survey assessed baseline seat belt practices. Participants then received structured education, and a post-education survey 1 month later evaluated changes in awareness and behavior.

Results: Sixty participants were included in the final analysis. Most reported obtaining seat belt information from unverified sources, particularly online communities. Many indicated a preference for structured education delivered by obstetricians, especially early in pregnancy. After the intervention, knowledge of proper seat belt use increased from 21.7% to 85.0% (P<0.001), and correct seat belt usage rose from 16.7% to 88.3% (P<0.001). Seat belt use while driving also improved markedly, increasing from 19.5% to 78.0% (P<0.001), demonstrating the program's effectiveness in enhancing awareness and behavior.

Conclusion: Education on seat belt use during pregnancy significantly improved both knowledge and correct usage among pregnant women. Routine, formal educational programs are recommended to promote maternal and fetal safety.