BACKGROUND: This study aimed to show whether it is necessary to hospitalize pregnant women who have been involved in traffic accidents. METHODS:Patients at a hospital in Istanbul, Turkey, who underwent traffic accidents between 2012 and 2018 were studied, and pregnant patients' files were evaluated. Demographic and obstetric features of patients, type of accident, type of trauma, Glasgow Coma Score, whether or not hospitalization were examined, the response of patients to hospitalization, and the obstetric and maternal results of accidents were assessed. RESULTS:In the present study, 95 patients were included. Overall, hospitalization was recommended for 50 patients, but of these, 58% refused to be admitted. No patients who refused hospitalization had complications. Preterm labor was seen in 3.2% of patients, while 3.2% had a fetal loss and 5.3% had a placental abruption. Only one mother was lost (1.1%) due to sustaining multiple traumas in a traffic accident. Hospitalization was increasingly indicated with increasing gestational age, but other parameters had no effect on hospitalization. CONCLUSION:The likelihood that hospitalization was recommended for pregnant women involved in traffic accidents increased with gestational age. Patients with minor trauma who refused hospitalization had no complications.

Abnormally invasive placenta (AIP) is the abnormal adhesion of the chorionic villi to the myometrium rather than being limited to the decidua basalis. While the definition of placenta increta is used in case of invasion of placenta to myometrium; placenta percreta is used when the placenta invades the serosa and sometimes adjacent organs such as bladder and bowel. Abnormal placental implantation has been detected in 2% of all singleton births and a 5-fold increase was shown over the past 3 decades. 1 The risk for placenta accreta in the presence of placenta previa rises with each subsequent caesarean delivery. Other risk factors include; uterine surgeries, in vitro fertilization, multiparity, maternal age, and even female sex of the infant. Women at the greatest risk of placenta accreta are those who have a previous caesarean delivery with either an anterior or posterior placenta previa overlying the uterine scar. 2 It was shown that in the presence of a placenta previa, the risk of placenta accreta was 3%, 11%, 40%, 61%, and 67% for the first, second, third, fourth, and fifth or greater repeat caesarean deliveries, respectively. 3