From: Subject: Black Women's Health Imperative: News Seatbelts Help Protect Moms-to-be In Crashes - Page_Wrapper_User.tpt Date: Tue, 15 Jun 2004 15:53:47 -0400 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0031_01C452F0.F1DE4180"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 This is a multi-part message in MIME format. ------=_NextPart_000_0031_01C452F0.F1DE4180 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.blackwomenshealth.org/site/News2?id=5957 Black Women's Health Imperative: News Seatbelts Help = Protect Moms-to-be In Crashes - Page_Wrapper_User.tpt

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Seatbelts Help Protect = Moms-to-be In=20 Crashes
Thursday July 31, 2003 =
By:=20 Anthony J. Brown, M.D.

3D""=20

A recent study shows that = pregnant women=20 may be tempted to opt out of wearing a seatbelt due to = discomfort. However, it's not worth the risk to = moms-to-be or=20 their babies. It's the law, so buckle up -- belly and = all!

NEW YORK (Reuters Health) - Women expecting a baby = may be=20 tempted to avoid the discomfort of a seat belt when = they're=20 driving, but that could be a mistake. A new study has = found=20 that pregnant women who experience a motor vehicle = crash and=20 who are not wearing a seatbelt have an increased risk = of=20 several adverse outcomes, including death of the = fetus.

"Most of the studies that have looked at the effect = of=20 motor vehicle crashes on pregnancy outcomes have been = clinical=20 studies," lead author Lisa K. Hyde, from the = University of=20 Utah in Salt Lake City, told Reuters Health. Few = statistical=20 studies have been done "because it is hard to track=20 pregnancies and motor vehicle crashes," she added.

In Utah, however, "we are lucky to have access to = statewide=20 data on births, motor vehicle crashes, and fetal = deaths and we=20 also have the ability to link all three data sets = together,"=20 Hyde noted. "So, we thought it would be a wonderful = project to=20 study the effects of crashes during pregnancy."

The current findings, which are reported in the = August=20 issue of Obstetrics and Gynecology, are based on = analysis of=20 data from 1992 to 1999. The authors looked at a number = of=20 adverse pregnancy outcomes, including low birth = weight,=20 prematurity, detached placenta and fetal death.

Nearly 3 percent of mothers experienced a = motor=20 vehicle crash during pregnancy. Compared with women = not=20 involved in a crash, women in motor vehicle accidents = who used=20 a seatbelt did not have a greater risk of damage to = the fetus.=20 However, Hyde noted that they lacked information on = the=20 severity of the crashes, "so it is possible that = really bad=20 crashes, even with belt use, produced adverse = outcomes."

Not using a seatbelt was tied to a number of poor = outcomes,=20 the authors note. Non-belted crash victims were 30% = more=20 likely than women not in a crash to have a low birth = weight=20 infant. Moreover, compared with belted crash victims,=20 non-belted victims were 2.1- and 2.8-times more likely = to=20 experience excessive maternal bleeding and fetal = death,=20 respectively.

"We have a very high birth rate in Utah, so the = prevalence=20 of crashes during pregnancy may be lower in other = states,"=20 Hyde pointed out. "Otherwise, most of our findings are = probably applicable to other states."

The take-home message for pregnant women remains = clear=97they=20 should wear a seatbelt, Hyde concluded.

SOURCE: Obstetrics & Gynecology, = August=20 2003.

Last Updated: 2003-07-31 = 15:56:25 -0400=20 (Reuters Health)

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