Intrauterine fetal death caused by seatbelt injury

Yamada, Shizuka; Nishijima, Koji; Takahashi, Jin; Takahashi, Nozomu; Tamamura, Chiyo; Yoshida, Yoshio

doi:10.1016/j.tjog.2016.08.009

Cited by 8 publications

(5 citation statements)

References 11 publications

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“…Fetal mortality was significantly higher in those who did not use seatbelts (25% compared with 3.5%, p = 0/018) [ 29 ]. Accordingly, it is recommended that pregnant ladies should use seatbelts despite its occasional injury to the fetus [ 30 , 31 ]. The seatbelts should be properly placed.…”

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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Section: Discussionmentioning

confidence: 99%

The changing epidemiology of trauma in child-bearing age women

et al. 2023

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“…Among pregnant women drivers, it has been found that 13% placed the shoulder belt behind the shoulder, which is similar to our results 22 . It has been found that inappropriate seatbelt use can lead to intrauterine fetal death or milk-duct injury 25 , 26 . Further, even if passengers basically use seatbelts correctly, there are sometimes errors.…”

Section: Discussionmentioning

confidence: 99%

Education for appropriate seatbelt use required for early-phase pregnant women drivers

Hanahara

Hitosugi

Tateoka

2020

Sci Rep

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Considerable numbers of pregnant women do not understand the correct way to use seatbelts; thus, they are inappropriately restrained when wearing seatbelts. To improve appropriate seatbelt wearing by pregnant women vehicle passengers, we examined their use by pregnant women drivers and the independent factors influencing appropriate use. We undertook a cross-sectional survey of 1,000 pregnant women in Shiga Prefecture, Japan. Among 774 returned questionnaires, we analysed those of 680 pregnant women who always wore a seatbelt. The mean participant age was 31.4 ± 5.0 years and mean gestational age 26.2 ± 8.2 weeks; 97.7% of subjects always wore a seatbelt; 86.9% wore a seatbelt correctly and 13.1% incorrectly. Multivariate analysis indicated that receiving information about correct seatbelt use (odds ratio, 2.25; P < 0.005) and gestational age (odds ratio, 1.06; P < 0.001) were significant independent factors for correct seatbelt use. Providing information about correct seatbelt use during the early term is required for pregnant women to protect both the mother and fetus.

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“…In pregnant women, seatbelt sign injury can lead to fetal injury or demise due to placental ischemia, abruptio placentae, or uterine damage. However, it should be noted that a properly worn seatbelt does not increase perinatal injury following MVA [ 2 , 8 ]. Uterine damage must also be considered in nongravid women.…”

Section: Discussionmentioning

confidence: 99%

Positive Seatbelt Sign with Avulsed Leiomyoma following Motor Vehicle Accident Leading to Hemoperitoneum

Manoukian

Tembhekar

Medeiros

2018

Case Reports in Emergency Medicine

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A positive seatbelt sign following a motor vehicle accident is associated with an increased risk of intra-abdominal injury and hemoperitoneum. Injury to the uterus in reproductive-age women can also occur. In this report, we describe a 29-year-old nulligravida female who presented to the emergency room following a motor vehicle accident at freeway speeds. A positive seatbelt sign was noted, and a focused assessment with sonography for trauma revealed hemoperitoneum with an incidental finding of uterine leiomyomata. Upon exploratory laparotomy, a free-floating intraperitoneal mass was identified as an avulsed uterine leiomyoma. A uterine laceration containing a subserosal leiomyoma was also identified. The gynecological team was consulted, and a myomectomy of the subserosal leiomyoma followed by a closure of the uterine laceration was performed. The patient was transfused with a total of three units of packed red blood cells and two units of fresh frozen plasma. The postoperative course was without major complication. A positive seatbelt sign and hemoperitoneum in a reproductive-age woman with leiomyomata should increase the clinical suspicion for uterine injury and decrease the threshold for obtaining a gynecological consultation.

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Intrauterine fetal death caused by seatbelt injury

Abstract: Careful monitoring, including blood and abdominal examinations, should be performed when pregnant women suffer seatbelt injuries.

Cited by 8 publications

References 11 publications

The changing epidemiology of trauma in child-bearing age women

The changing epidemiology of trauma in child-bearing age women

Education for appropriate seatbelt use required for early-phase pregnant women drivers

Positive Seatbelt Sign with Avulsed Leiomyoma following Motor Vehicle Accident Leading to Hemoperitoneum

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