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American Journal of Epidemiology 2005 161(6):503-510; doi:10.1093/aje/kwi078
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American Journal of Epidemiology Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health All rights reserved

ORIGINAL CONTRIBUTIONS

Pregnancy Outcomes following Hospitalization for Motor Vehicle Crashes in Washington State from 1989 to 2001

Melissa A. Schiff1,2 and Victoria L. Holt1,2,3

1 Harborview Injury Prevention and Research Center, Seattle, WA
2 Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle, WA
3 Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA

Correspondence to Dr. Melissa A. Schiff, Harborview Injury Prevention and Research Center, 325 Ninth Avenue, Box 359960, Seattle, WA 98104 (e-mail: mschiff{at}u.washington.edu).

This retrospective cohort study evaluated the risk of adverse pregnancy outcomes following motor vehicle crashes during pregnancy. The authors assessed outcomes of pregnant women hospitalized for motor vehicle crashes in Washington State from 1989 to 2001 (n = 582). They used the Injury Severity Score (ISS) to classify 84 severely injured (ISS ≥9), 309 non-severely injured (ISS 1–8), and 189 uninjured (ISS 0) pregnant women and compared them with pregnant women who had not been hospitalized for a motor vehicle crash (n = 17,274). Of pregnant women in motor vehicle crashes, 82.9% were hospitalized and discharged without delivering, and 17.1% delivered at hospitalization. Compared with women not in motor vehicle crashes, severely and non-severely injured women were at increased risk of placental abruption and cesarean delivery, and their infants were at increased risk of respiratory distress syndrome and fetal death. Uninjured women were also at increased risk of preterm labor (relative risk = 7.9, 95% confidence interval: 6.4, 9.8) and placental abruption (relative risk = 6.6, 95% confidence interval: 3.9, 11.2) compared with women not in motor vehicle crashes. Pregnant women hospitalized following motor vehicle crashes are at increased risk of adverse pregnancy outcomes, regardless of the presence or severity of injuries.

accidents, traffic; hospitalization; pregnancy outcome; wounds and injuries

Abbreviations: ICD-9-CM   International Classification of Diseases; Ninth Revision   Clinical Modification; ISS   Injury Severity Score


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RE: "PREGNANCY OUTCOMES FOLLOWING HOSPITALIZATION FOR MOTOR VEHICLE CRASHES IN WASHINGTON STATE FROM 1989 TO 2001"
Am. J. Epidemiol., July 15, 2005; 162(2): 197 - 197.
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Minerva
BMJ, April 2, 2005; 330(7494): 798 - 798.
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