{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:00:44Z","timestamp":1771034444133,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Jewish General Hospital Perinatal Research Centre"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Motor vehicle accidents (MVA) are a major contributor of worldwide morbidity and mortality; however, relatively little is known about the incidence and consequences of traffic accidents on pregnant women. Our aim is to compare rates and outcomes of motor vehicle collision\u2010related accidents in pregnant women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>We conducted a population\u2010based retrospective cohort study using the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database from 2003 to 2011. The risk of different MVA and injuries were compared among pregnant and non\u2010pregnant subjects using conditional logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 5936 cases of collision\u2010related MVA in pregnancy and age\u2010matched them at a 1:10 ratio to 59\u2009360 non\u2010pregnant women with collision\u2010related MVA. As compared to non\u2010pregnant women, pregnant women who were admitted after an MVA suffered less severe injuries and consequently required fewer therapeutic interventions and a shorter hospital stay. Pregnant women who had a collision\u2010related MVA were, however, at increased risk of requiring genitourinary surgery (odds ratio [OR], 1.45; 95% confidence interval [CI], 1.24\u20131.69). When restricted to women with a fracture, pregnant women were even more likely to require genitourinary surgery (OR, 2.93; 95%CI, 2.32\u20133.71) as well as require a blood transfusion (OR, 1.21; 95%CI, 1.01\u20131.44).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pregnant women admitted to hospital after a collision\u2010related MVA tend to sustain less severe injuries compared to non\u2010pregnant women. However, the influence of admissions for fetal monitoring, rather than maternal injury, could not be determined from our dataset. Pregnant women who experienced a collision\u2010related MVA also required less surgical intervention, with the exception of genitourinary surgery, which may be indicative of more cesarean deliveries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12745","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T16:16:33Z","timestamp":1436890593000},"page":"1370-1376","source":"Crossref","is-referenced-by-count":21,"title":["Motor vehicle collision\u2010related accidents in pregnancy"],"prefix":"10.1111","volume":"41","author":[{"given":"Tania","family":"Azar","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Jewish General Hospital McGill University  Montreal Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Longo","sequence":"additional","affiliation":[{"name":"Centre for Clinical Epidemiology and Community Studies Jewish General Hospital  Montreal Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Oddy","sequence":"additional","affiliation":[{"name":"Centre for Clinical Epidemiology and Community Studies Jewish General Hospital  Montreal Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haim Arie","family":"Abenhaim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Jewish General Hospital McGill University  Montreal Canada"},{"name":"Centre for Clinical Epidemiology and Community Studies Jewish General Hospital  Montreal Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2005.06.006"},{"key":"e_1_2_6_3_1","volume-title":"World report on road traffic injury prevention","author":"Peden M.","year":"2004"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199205000-00017"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2007.11.011"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.02.051"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199012063232307"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e3181c11edf"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-871221"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340802302184"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200211000-00021"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2010.07.019"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000172644.38918.BD"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2013-0322"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-014-3276-7"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.09.016"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.02.009"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000182808.99433.55"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03226.x"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(96)02829-9"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199005000-00008"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb13307.x"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2012.10.010"},{"key":"e_1_2_6_24_1","first-page":"1681","article-title":"Vital signs: nonfatal, motor vehicle\u2013occupant injuries (2009) and seat belt use (2008) among adults \u2014 United States","volume":"59","author":"Centers for Disease Control and Prevention","year":"2011","journal-title":"Morb Mortal Wkly Rep"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.1997.tb07984.x"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.131650"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"e_1_2_6_28_1","unstructured":"DesjardinsG.Management of the injured pregnant patient. 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