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Abstract
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OBJECTIVES: (1) To evaluate maternal and fetal outcome after motor-vehicle injury during pregnancy (2) To determine if there was prenatal care provider counseling for seat belt use.
METHODS: Retrospective chart analysis of materno-fetal outcome following motor vehicle injury in 728 pregnant women between 2009-2012. Women attending antenatal clinics over these years were asked if they were counseled regarding correct seat belt use by prenatal health care providers during their antenatal visits.
RESULTS: In these pregnant women, 80 (11%) sustained minor injuries / sprains. 648 women (89%) had severe adverse materno-fetal pregnancy outcomes. Important causes being (1) Placental abruption 58.8% (2) Preterm labor (40%) (3) Uterine rupture (1.6%). There were 100 (13.7%) maternal and 78 (10.7%) fetal deaths. 91 (12.5%) perimortem cesarean deliveries were performed and 74 (81%) fetus survived, as did 31 women. Prenatal care provider counseling for seat belt use occurred in 44.8% of prenatal visit. Only 125 (21%) were using seat belt during the accident.
CONCLUSION: Important causes of adverse pregnancy outcome were: abruptio placenta, preterm labor, 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.
Language: en |