Monday, 06 February 2012
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 Expectant mothers should buckle up to keep baby safe
Source: Giardian.UK from BMJ Group   Date: 5/20/2009

Pregnant women sometimes worry that wearing a seat belt could injure their unborn baby in the event of an accident. But a new study has found that the risk of serious harm to the pregnancy is far higher when seat belts aren't
used.

What do we know already?

There's no doubt that seat belts save lives. More than 1,400 people were killed in car crashes in the UK during 2007, and 1 in 3 of these people were not wearing seat belts. Experts estimate that nearly 300 people would not have died if they had worn a seat belt.

Pregnant women, like other adults, are required by law to wear seat belts, if they are fitted. Even so, some pregnant women fear that wearing a seat belt will harm their baby when it tightens in the event of a crash.

To find out if these concerns are warranted, researchers looked at what happened to a large group of pregnant women involved in car accidents.
What does the new study say?

Using a US database that tracks injuries from accidents, the researchers identified 2,422 pregnant women who'd been in a traffic accident, and looked at whether their baby had died or needed to be delivered early.

They found that 8.4 percent of women who didn't use any safety restraints (neither a seat belt nor airbag) lost their baby or had an early delivery, compared with 5.8 percent of women who used a seat belt.

The risk was even lower when women used both a seat belt and an airbag, with only 3.8 percent losing their baby or having an early delivery.

When researchers did their final calculations, they found that women who used a seat belt had a 33 percent lower chance of these harms than women who didn't use safety restraints, and those who used both a seat belt and airbag had a 57 percent lower risk.
How reliable are the findings?

The study's findings were presented at a recent medical conference, and have not yet been published. This means we can't check all the figures, or look at the study to see how well it was carried out. However, the overall figures are likely to be pretty reliable.
Where does the study come from?

The study was carried out by researchers at Wake Forest University in the US, and its findings were presented at the annual meeting of the Society for Academic Emergency Medicine.

What does this mean for me?

If you are pregnant, wearing a seat belt can reduce the risk of serious harm to your baby (and yourself) should you be in an accident. The risk is even lower if your car has airbags.
What should I do now?

Make sure you buckle up throughout your pregnancy. You may find that wearing a seat belt becomes uncomfortable as your bump grows, but proper positioning of the belt can improve both your comfort and safety.

* Position your lap strap so that it lies below your bump and runs low across your hip bones. This will minimise how much pressure is put on your belly should you be in an accident.

* Always use the shoulder strap. Place it between your breasts and down the side of your bump. Never put it below your arm or behind your back.

* If you're driving, position your seat as far from the steering wheel as possible while still allowing you to comfortably reach the pedals.

If your car has airbags, bear in mind these are designed to be used with seat belts, not in place of them. And if you are in an accident, be sure to see your doctor, even if you feel fine or your injuries appear slight.


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