Motor–vehicle injury in pregnancy and subsequent feto-maternal outcomes: of grave concern

Abstract

Important causes of adverse pregnancy outcome were: abruptio placenta, preterm labor and uterine rupture. There were 100 maternal and 78 fetal deaths with 97 preterm births. Counseling occurred in 44.8% of women. Those using seat belts during the accidents sustained minor injuries.

Maternal Exposures Associated with Autism Spectrum Disorder in Jamaican Children

“…Motor vehicle accidents (MVAs) and other types of blunt force trauma experienced by pregnant women are known to have resulted in adverse fetal outcomes (Chibber, Al-Harmi, Fouda, & El-Saleh, 2015), including negative effects on the fetal brain and nervous system (Baethmann, Kahn, Lenard, & Voit, 1996; Breysem et al, 2004). However, to the best of our knowledge, no studies have directly examined the association between this type of maternal injury during pregnancy and ASD in her child.…”

Fetal death: an extreme manifestation of maternal anti-fetal rejection

“…maternal trauma leading to placental abruption [182, 183], a metabolic disorder such as diabetic ketoacidosis [184–186], maternal sepsis [187, 188], etc. ), placental disease (i.e.…”

Traumatic uterine rupture in three felids

“…In reported episodes of uterine rupture in dogs, manual manipulation of fetuses during dystocia, the pyometra‐endometritis complex, obstructive dystocia, fetal death, uterine torsion or prolapse, and external trauma have all been described as underlying risk factors . In women, although uterine rupture has been reported as a result of uterine wall defects and trauma, the majority of reports describe rupture during parturition at previous hysterotomy sites . In horses, uterine rupture is more commonly identified postpartum, and has been associated with prolonged or excessive fetal manipulation, fetotomy, or fetal malposition; however, rupture following uncomplicated parturition has also been reported …”

“…In addition, manual per vaginam manipulation of the fetuses during dystocia, and oxytocin administration to animals with obstructive dystocia, may have resulted in uterine rupture . Uterine rupture during pregnancy and labor or delivery in women primarily occurs at previous hysterotomy incision sites, while external trauma including vehicular accidents, falls, or domestic abuse are less frequent causes of rupture . A single case report describes uterine rupture in a cat following vehicular trauma .…”