Traffic injuries of the pregnant women

Czech version

Authors: Jiří Kepák
Authors‘ workplace: gynekolog a gynekologický konzultant traumatologického oddělení, gynekologické pracoviště Úrazové nemocnice v Brně
Published in: Prakt Gyn 2013; 17(4): 304-308
Category: Gynecology and Obstetrics: Review Article

Overview

Development of automotive industry has caused increased amount of drivers and co-drivers among pregnant women in daily transport. Nowadays, women conduct the car alone more frequently than ever, moreover, in the higher stages of pregnancy. Unfortunately, car accidents are the leading cause of severe polytrauma in pregnant women - 70 % of all serious injuries in pregnancy is caused by traffic accidents. The aim of article is to highlight the causes and nature of car accidents in pregnancy with theirs management and solutions, to remind on tipical cases from the clinical practice of The Trauma Center at Hospital Brno, and to emphasize the need for preventive measures which should be introduce as early as from the time of pregnancy counseling visit.

Key words:
pregnancy – prevention – traffic injuries

Sources

1. Chames M, Pearlman MD. Trauma during pregnancy: outcomes and clinical management. Clin Obstet Gynecol 2008; 51(2): 398–408.

2. Hill CC, Pickinpaugh J. Trauma and surgical emergencies in the obstetric patient. Surg Clin North Am 2008; 88(2): 421–440.

3. Klinich KD, Flannagan CA, Rupp JD et al. Fetal outcome in motor vehicle crashes: effects of crash characteristics and maternal restraints. Am J Obstet Gynecol 2008; 198(4): 450. e1–9. Dostupné DOI: .

4. Weir LF, Pierce BT, Vazquez JO. Complete fetal transection after a motor vehicle collision. Obstet Gynecol 2008; 111(2 Pt2): 530–532.

5. Johnson HC, Pring DW. Car seatbelts in pregnancy: the practice and knowledge of pregnant women remain causes for concern. BJOG 2000; 107(5): 644–647.

6. Kepák. J. Dopravní polytrauma a těhotenství – nezbytnost a možnosti prevence. Prakt Gynekol 2004; 8(1): 14–18.

7. Patteson SK, Snider CC, Meyer DS et al. The consequences of high-risk behaviors: trauma during pregnancy. J Trauma 2007; 62(4): 1015–1020.

8. Kepák J. Trauma a těhotenství. In: Pařízek A et al. Kritické stavy v porodnictví. 1. vyd. Mother-Care-Centrum Publishing a Galén: Praha – Kamenice 2012: 34–40. ISBN 978–80–7262–949–7.

9. Kepák J. Dopravní úrazy těhotných žen – specifika neodkladné péče. In: Pařízek A et al. Kritické stavy v porodnictví. 1. vyd. Mother-Care-Centrum Publishing a Galén: Praha – Kamenice 2012: 41–46. ISBN 978–80–7262–949–7.

10. Kepák J. Perimortální císařský řez. In: Pařízek A et al. Kritické stavy v porodnictví. 1. vyd. Mother-Care-Centrum Publishing a Galén: Praha – Kamenice 2012: 212–216. ISBN 978–80–7262–949–7.