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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Motor-vehicle crashes during pregnancy: a retrospective cohort study
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Motor-vehicle crashes during pregnancy: a retrospective cohort study

机译：怀孕期间的机动车碰撞：一项回顾性队列研究

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Background: The purpose of this study was to assess the risk of motor-vehicle pregnant driver crashes in Pennsylvania using vital statistics linked to police and ambulance reports. This was supplemented with a review of national age and sex specific crash and fertility data to put this risk into perspective and rank the likelihood for pregnancy-related crashes in other states. Methods: Motor vehicle police crash reports from the Pennsylvania Department of Transportation were probabilistically linked to four years of birth and fetal death data and five years of infant death records and ambulance reports. State specific motor-vehicle traffic injury rates (fatal and non-fatal) were compared to birth rates, by age, for women ages 15 - 34. Results: 5929 (1.1%) of the women with a birth or fetal death linked to a police reported motor vehicle driver crash during pregnancy. One-third (32.5%) of these crashes resulted in minor maternal injuries and 7.5% resulted in moderate to fatal maternal injuries. Crashes were evenly distributed across gestational ages. Young drivers (20 - 24) were at highest risk. Police reported non-belt use was 10%. Conclusions: This study quantifies the risk of motor vehicle crashes during pregnancy in Pennsylvania and offers a perspective on potential variations in other states. Pregnancy related crashes occur at a higher rate than infant related crashes with a concomitant threat to the fetus and new-born not usually tracked within current crash data systems.
机译：背景：本研究的目的是使用与警察和救护车报告相关的生命统计数据来评估宾夕法尼亚州怀孕的机动车驾驶员撞车的风险。此外，还对全国年龄和性别特定的撞车和生育数据进行了回顾，以了解这种风险并在其他州对与怀孕相关的撞车可能性进行排名。方法：宾夕法尼亚州交通运输部的机动车警察撞车报告在概率上与四年的出生和胎儿死亡数据以及五年的婴儿死亡记录和救护车报告相关。将按州划分的15-34岁女性的州特定机动车交通伤害发生率（致命和非致命）与出生率进行了比较。结果：5929（1.1％）名出生或胎儿死亡的妇女与警方报告怀孕期间机动车驾驶员撞车。这些事故中有三分之一（32.5％）造成了轻微的产妇受伤，而7.5％的造成了中度至致命的产妇伤害。崩溃在各个胎龄之间平均分布。年轻的驾驶员（20-24岁）处于最高风险。警方报告非皮带使用率为10％。结论：这项研究量化了宾夕法尼亚州怀孕期间机动车碰撞的风险，并为其他州的潜在变化提供了前景。怀孕相关的崩溃发生率比婴儿相关的崩溃发生率高，而伴随胎儿和新生儿的威胁通常在当前的崩溃数据系统中无法跟踪。

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