Motor vehicle collision‐related accidents in pregnancy

Azar, Tania; Longo, Cristina; Abenhaim, Haim A.

doi:10.1111/jog.12745

Cited by 18 publications

(21 citation statements)

References 28 publications

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“…The data were sourced from hospital records/trauma registries (7/19) 17 30 31 34 37 38 40 or from population-level databases (12/19). 2 6 8 26–29 32 33 35 36 39 The majority of studies collected information on outcomes of pregnant women involved in MVC during any trimester of pregnancy. Eight out of 19 studies reported information about the use of safety devices such as seat belts and/or airbags.…”

Section: Resultsmentioning

confidence: 99%

“…We conducted our review using a prospectively registered protocol and reported it in accordance with the international standards. 41 This review, to our best knowledge, is the first one examining the link between involvement in MVC, mortality and adverse outcomes that involves evaluation of study quality assessment; 14 studies looking at outcome incidence related to MVC 2 17 29–40 and 5 studies comparing outcomes in pregnant women involved in MVC and those who were not. 6 8 26–28 We used established tools to assess outcome reporting quality for the incidence rates 42 and comparability.…”

Section: Discussionmentioning

confidence: 99%

“…We undertook random-effects meta-analysis to determine the ORs with 95% CIs for maternal and offspring complications from MVC. We estimated heterogeneity between the included studies with Χ 2 test of Q (I 2 ) excepting when not enough studies were in the meta-analysis, 2 3 and we pooled the rates of maternal/fetal complications and reported with 95% CI. For each primary outcome, a meta-analysis was conducted for studies sufficiently homogeneous in terms of the characteristics of participants and exposure.…”

Section: Methodsmentioning

confidence: 99%

“…Up to half of all women in developed countries drive motor vehicles 1 and the consequences of road traffic-related injuries involving pregnant women can be severe. 2 Indeed, motor vehicle crashes (MVCs) are the most common cause of non-obstetric trauma associated with fetal deaths (2.3 per 100 000 live births). 3 The risk of adverse outcomes resulting from an MVC increases in the second trimester of pregnancy if the pregnant women were the driver 4 ; however, this does not appear to be the case for pregnant passengers or pedestrians.…”

Section: Introductionmentioning

confidence: 99%

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Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis

et al. 2020

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ObjectivesTo systematically review and quantify the effect of motor vehicle crashes (MVCs) in pregnancy on maternal and offspring outcomes.DesignSystematic review and meta-analysis of observational data searched from inception until 1 July 2018. Searching was from June to August 2018 in Medline, Embase, Web of Science, Scopus, Latin-American and Caribbean System on Health Sciences Information, Scientific Electronic Library Online, TRANSPORT, International Road Research Documentation, European Conference of Ministers of Transportation Databases, Cochrane Database of Systematic Reviews and Cochrane Central Register.ParticipantsStudies were selected if they focused on the effects of exposure MVC during pregnancy versus non-exposure, with follow-up to verify outcomes in various settings, including secondary care, collision and emergency, and inpatient care.Data synthesisFor incidence data, we calculated a pooled estimate per 1000 women. For comparison of outcomes between women involved and those not involved in MVC, we calculated ORs with 95% CIs. Where possible, we statistically pooled the data using the random-effects model. The quality of studies used in the comparative analysis was assessed with Newcastle–Ottawa Scale.ResultsWe included 19 studies (3 222 066 women) of which the majority was carried out in high-income countries (18/19). In population-level studies of women involved in MVC, maternal death occurred in 3.6 per 1000 (95% CI 0.25–10.42; 3 studies, 12 000 women; Tau=1.77), and fetal death or stillbirth in 6.6 per 1000 (95% CI 3.81–10.12; 8 studies, 47 992 women; I2=92.6%). Pooled incidence of complications per 1000 women involved in MVC was labour induction (276.43), preterm delivery (191.90) and caesarean section (166.65). Compared with women not involved in MVC, those involved had increased odds of placental abruption (OR 1.43, 95% CI 1.27–1.63; 3 studies, 1 500 825 women) and maternal death (OR 202.27; 95% CI 110.60–369.95; 1 study, 1 094 559 women).ConclusionPregnant women involved in MVC were at higher risk of maternal death and complications than those not involved.PROSPERO registration numberCRD42018100788.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis

et al. 2020

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“…9 Pregnancy was defined as the presence of any of the following codes: 640–649, 650–659, 660–669, V22, V23, and V27. 10 Mechanical ventilation was isolated by the presence of the following International Classification of Diseases, 9th Revision codes: 96.70, 96.71, 96.72, and 96.04. Those patients with code 96.72 were defined as having prolonged mechanical ventilation (greater than 96 hours).…”

Section: Methodsmentioning

confidence: 99%

Acute Respiratory Distress Syndrome in Pregnant Women

Rush¹,

Martinka

Kilb³

et al. 2017

Obstetrics &Amp; Gynecology

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OBJECTIVE To estimate the rate of acute respiratory distress syndrome (ARDS) in pregnant patients as well as to investigate clinical conditions associated with mortality. METHODS We used the Nationwide Inpatient Sample from 2006 to 2012 to identify a cohort of pregnant patients who underwent mechanical ventilation for ARDS. A multivariate model predicting in-hospital mortality was created. RESULTS A total of 55,208,382 hospitalizations from the 2006–2012 Nationwide Inpatient Samples were analyzed. There were 2,808 pregnant patients with ARDS who underwent mechanical ventilation included in the cohort. The overall mortality rate for the cohort was 9%. The rate of ARDS requiring mechanical ventilation increased from 36.5 cases (95% confidence interval [CI] 33.1–39.8) per 100,000 live births in 2006 to 59.6 cases (95% CI 57.7–61.4) per 100,000 live births in 2012. Factors associated with a higher risk of death were prolonged mechanical ventilation (adjusted odds ratio [OR] 1.69, 95% CI 1.25–2.28), renal failure requiring hemodialysis (adjusted OR 3.40, 95% CI 2.11–5.47), liver failure (adjusted OR 1.71, 95% CI 1.09–2.68), amniotic fluid embolism (adjusted OR 2.31, 95% CI 1.16–4.59), influenza infection (OR 2.26, 95% CI 1.28–4.00), septic obstetric emboli (adjusted OR 2.15, 95% CI 1.17–3.96), and puerperal infection (adjusted OR 1.86, 95% CI 1.28–2.70). Factors associated with a lower risk of death were: insurance coverage (adjusted OR 0.56, 95% CI 0.37–0.85), tobacco use (adjusted OR 0.53, 95% CI 0.31–0.90), and pneumonia (adjusted OR 0.70, 95% CI 0.50–0.98). CONCLUSION In this nationwide study, the overall mortality rate for pregnant patients mechanically ventilated for ARDS was 9%. The rate of ARDS requiring mechanical ventilation increased from 36.5 cases (95% CI 33.5–41.8) per 100,000 live births in 2006 to 59.6 cases (95% CI 54.3–65.3) per 100,000 live births in 2012.

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Maternal Abdominal Trauma

Augustin

2023

Acute Abdomen During Pregnancy

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Motor vehicle collision‐related accidents in pregnancy

Cited by 18 publications

References 28 publications

Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis

Maternal trauma due to motor vehicle crashes and pregnancy outcomes: a systematic review and meta-analysis

Acute Respiratory Distress Syndrome in Pregnant Women

Maternal Abdominal Trauma

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