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The dataset included maternally linked vital records and hospital visit data for a population\u2010based cohort of women residing in Massachusetts who delivered between 2002 and 2003 (n = 100,051). Injury morbidity (injury visits with International Classification of Diseases, Ninth Revision, Clinical Modification codes 800\u2013999.99 or selected E\u2010codes) was evaluated by individual woman\u2010and visit\u2010based analyses. Overall, one in seven women sought hospital care for pregnancy\u2010associated injuries, and rates were as high as one in four for some subgroups. Most pregnancy\u2010associated injury visits (91%) occurred in emergency departments. More than 4% of women had a motor vehicle collision, which was the leading cause of injury. The risk for injury was significantly higher among women who were adolescents (relative risk [RR] = 1.88; 95% confidence interval [CI], 1.78\u20131.98), black non\u2010Hispanic (RR = 1.88; 95% CI, 1.80\u20131.97), those who had public insurance (RR = 2.50; 95% CI, 2.41\u20132.56), or those who had less than a high school education (RR = 2.48; 95% CI, 2.39\u20132.58) when compared with referent groups. Clinical guidelines for preconception and pregnancy\u2010associated periods should include recommendations for injury history assessment and preventative counseling for women.<\/jats:p>","DOI":"10.1016\/j.jmwh.2007.07.018","type":"journal-article","created":{"date-parts":[[2008,1,25]],"date-time":"2008-01-25T08:46:52Z","timestamp":1201250812000},"page":"3-10","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Injury: A Major Cause of Pregnancy\u2010Associated Morbidity in Massachusetts"],"prefix":"10.1111","volume":"53","author":[{"given":"Angela","family":"Nannini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Lazar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Berg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kay","family":"Tomashek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Cabral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Barger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanda","family":"Barfield","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milton","family":"Kotelchuck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_7_2_2","article-title":"WISQARS leading cause of death report, 1999\u20132003","author":"Centers for Disease Control and Prevention Website.","journal-title":"National Center for Injury Prevention and Control 2006"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2003.029868"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)90496-4"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00485-7"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.11.1455"},{"key":"e_1_2_7_7_2","first-page":"140","article-title":"Pregnancy\u2010associated mortality at the end of the twentieth century: Massachusetts, 1990\u20131999","volume":"57","author":"Nannini A","year":"2002","journal-title":"J Am Med Womens Assoc"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(99)00466-4"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001703-199202000-00009"},{"key":"e_1_2_7_10_2","first-page":"173","article-title":"From mortality to morbidity: The challenge of the twenty\u2010first century","volume":"57","author":"Berg CJ","year":"2002","journal-title":"J Am Med Womens Assoc"},{"key":"e_1_2_7_11_2","first-page":"131","article-title":"Maternal mortality surveillance in the United States: Moving into the twenty\u2010first century","volume":"57","author":"Callaghan WM","year":"2002","journal-title":"J Am Med Womens Assoc"},{"key":"e_1_2_7_12_2","first-page":"241","volume":"48","author":"Ten great public health achievements\u2014United States, 1900\u20131999.","year":"1999","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(18)30157-0"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(03)00518-0"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.09.016"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200211000-00021"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwi078"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(99)70165-4"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.15.1863"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-4575(00)00058-0"},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/ip.8.3.207"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02183-X"},{"key":"e_1_2_7_23_2","unstructured":"McCraigLF BurtCW.National Hosptial Ambulatory Medical Care Survey: 2003 emergency department summary. 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