Correct Use of Three-Point Seatbelt by Pregnant Occupants

Açar, Burak; Edwards, A; Aldah, Mostafa

doi:10.3390/safety4010001

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…However, a substantial number of pregnant women are not willing to wear three-point seatbelts because of a compressive feeling or discomfort. Acar et al suggested that the rate of seatbelt use during pregnancy in Europe, North America, and other countries was 94.8%, 92.2%, and 83.3%, respectively [ 9 ]. In Malaysia, 57.6% of pregnant drivers always used a seatbelt [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Mechanisms of Negative Fetal Outcome in Frontal Vehicle Collisions Involving Unbelted Pregnant Drivers

et al. 2020

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To determine the cause of negative fetal outcomes and the causative mechanism in a frontal collision, we analyzed the kinematics and mechanisms of injuries using an unbelted pregnant dummy, the Maternal Anthropometric Measurement Apparatus dummy, version 2B. Sled tests were performed to recreate frontal impact situations with impact speeds of 13, 26, and 40 km/h. Overall kinematics of the dummy were examined through high-speed video imaging. Quantitative dummy responses—such as time courses of the abdominal pressure, chest deflection, neck injury criteria (Nij), and displacement of the pelvis during impact—were also measured. The maximum abdominal pressure of 103.3 kPa was obtained at an impact speed of 13 km/h. The maximum chest deflection of 38.5 mm and Nij of 0.36 were obtained at an impact speed of 26 km/h. The highest maximum chest deflection of >40.9 mm, Nij of 0.61, and forward pelvis displacement of 478 mm were obtained at an impact speed of 40 km/h. Although the kinematics and mechanism of injuries of the dummy were different for different collision speeds, we found that unbelted pregnant drivers suffer severe or fatal injuries to the fetus even in low-speed collisions.

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Section: Introductionmentioning

confidence: 99%

Mechanisms of Negative Fetal Outcome in Frontal Vehicle Collisions Involving Unbelted Pregnant Drivers

et al. 2020

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“…The seatbelts should be properly placed. The lap section should be under the bump and across the hips, while the shoulder section should pass between the two breasts and around the abdomen [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

The changing epidemiology of trauma in child-bearing age women

et al. 2023

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Background In the last two decades, there have been major improvements in the trauma system in the United Arab Emirates (UAE). We aimed to study the changes in the incidence, type, severity, and outcome of trauma of hospitalized child-bearing age women in Al-Ain City, UAE, during that time. Methods Data from two separate trauma registries of Al-Ain Hospital, which were prospectively collected from March 2003 to March 2006 and January 2014 to December 2017, were analyzed retrospectively. All women aged 15–49 years were studied. The two periods were compared. Results Trauma incidence of hospitalized child-bearing age women was reduced by 47% during the second period. There were no significant differences in the mechanism of injury between the two periods. Road traffic collision was the main cause of injury (44% and 42%, respectively) followed by fall down (26.1% and 30.8%, respectively). The location of injury was significantly different (p = 0.018), with a strong trend of more home injuries in the second period (52.8% compared with 44%, p = 0.06). There was a strong statistical trend of mild traumatic brain injury (GCS 13–15) in the second period (p = 0.067, Fisher’s Exact test). Those who had normal GCS of 15 were significantly higher in the second period compared with those in the first period (95.3% compared with 86.4%, p < 0.001, Fisher’s Exact test) despite having more anatomical injury severity of the head (AIS 2 (1–5) compared with 1 (1–5), p = 0.025). The NISS was significantly higher in the second period (median (range) NISS 5 (1–45) compared with 4 (1–75), p = 0.02). Despite that, mortality was the same (1.6% compared with 1.7%, p = 0.99) while the length of hospital stay was significantly less (mean (SD) 5.6 (6.3) days compared with 10.6 (13.6) days, p < 0.0001). Conclusions The incidence of trauma in hospitalized child-bearing-age women was reduced by 47% over the last 15 years. Road traffic collisions and falls are the leading cause of injury in our setting. Home injuries increased over time. The mortality remained stable despite the increased severity of injured patients. More injury prevention efforts should target home injuries.

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