Document Detail


Motor vehicle crashes and maternal mortality in New Mexico: the significance of seat belt use.
MedLine Citation:
PMID:  9265859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In recent years, as deaths from medical complications during pregnancy have declined, injuries-specifically those sustained in motor vehicle crashes-represent a growing proportion of all pregnancy-associated deaths. To investigate pregnancy-associated deaths in motor vehicle crashes in New Mexico, we scrutinized the database of the New Mexico Office of the Medical Investigator for all deaths during pregnancy and up to 6 weeks postpartum from 1986 through 1995. A total of 97 deaths were identified, 47 of which were injury-related. Motor vehicle crashes accounted for 33 (approximately 70%) of the injury-related deaths. We analyzed the data on motor vehicle crashes for decedent's age and ethnicity, fetal gestational age, time of crash, rural vs urban location of crash, seat belt use, and drug and alcohol use. Compared with non-Hispanic white women, proportionately higher numbers of Hispanic and American Indian pregnant women were killed in motor vehicle crashes. In searching for modifiable risk factors, we noted that 45% of the crashes involved alcohol and that the majority of pregnant women killed (77%) were not wearing seat belts at the time of the crash. We conclude that education about seat belt use during pregnancy (as well as the dangers of alcohol use and riding with intoxicated drivers while pregnant) is a promising strategy to reduce motor vehicle fatalities.
Authors:
M Schiff; L Albers; P McFeeley
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Western journal of medicine     Volume:  167     ISSN:  0093-0415     ISO Abbreviation:  West. J. Med.     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-09-24     Completed Date:  1997-09-24     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0410504     Medline TA:  West J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  19-22     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, College of Nursing, Albuquerque, New Mexico.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic / mortality*
Adolescent
Adult
Alcohol Drinking / adverse effects
Cause of Death
Chi-Square Distribution
Female
Hispanic Americans
Humans
Indians, North American
Maternal Mortality*
New Mexico / epidemiology
Pregnancy
Retrospective Studies
Risk Factors
Seat Belts / utilization*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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