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Does placenta position modify the risk of placental abruption in car crashes?

机译:胎盘位置是否会改变车祸中胎盘早剥的风险?

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The goal of this paper is to study the influence of placenta position on the risk of placenta abruption following a car crash involving a full term pregnant woman in the driver's seat. We developed an anatomically precise finite element numerical model of a pregnant woman. This numerical model was validated using experimental data from crash tests using cadavers given to science. For a frontal impact at a speed of 20 km/h, the mean value of peak strain levels at the utero-placenta interface were found to be close to 20%, independent of placenta position, representing an adverse foetal outcome risk of approximately 15%. This study found no significant effect of placenta position on the risk of placenta abruption. Our anatomically precise approach does however confirm the interest of using a numerical model when studying injury mechanisms in pregnant women involved in car crashes.
机译:本文的目的是研究胎盘位置对驾驶孕妇中足月孕妇的车祸后胎盘早剥风险的影响。我们开发了一个解剖学上精确的孕妇有限元数值模型。通过使用尸体的碰撞试验的实验数据验证了此数值模型,该尸体被分配给科学。对于以20 km / h的速度进行正面撞击时,发现子宫胎盘界面处的峰值应变水平的平均值接近20%,而与胎盘位置无关,这表示胎儿不良结局风险约为15% 。这项研究发现胎盘位置对胎盘早剥风险没有显着影响。但是,我们的解剖学精确方法确实证实了研究车祸孕妇的伤害机制时使用数值模型的兴趣。

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    Laboratoire de Biomecanique Appliquee, INRETS/Universite de la Mediterranee, Marseille, France Service de Gynecologie- Obstetrique, Reproduction et de Medecine foetale, Hopital Archet, Nice, France;

    Laboratoire de Biomecanique Appliquee, INRETS/Universite de la Mediterranee, Marseille, France;

    Laboratoire de Biomecanique Appliquee, INRETS/Universite de la Mediterranee, Marseille, France;

    Service de Gynecologie- Obstetrique, Reproduction et de Medecine foetale, Hopital Archet, Nice, France;

    Laboratoire de Biomecanique Appliquee, INRETS/Universite de la Mediterranee, Marseille, France;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    pregnancy; road safety; finite element model; injury mechanisms;

    机译:怀孕;道路交通安全;有限元模型伤害机制;

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