Impact injuries in pregnancy. I, Experimental studies.
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1968-03-01
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Abstract:Eleven pregnant baboons were subjected to experimental impacts. Variables included 20-, 33-, and 40-G levels of decelerative forces; forward and rearward facing seats; lap belt and lap belt plus shoulder harness restraint; and seat pans tilted 20 degrees and 45 degrees. At the 20-G level, maternal injuries were minimal. Fetal death occurred in association with traumatic head injury, placental separation, and maternal shock.
No attempt was made to compare fetal survival between restraint systems because the number of available animals was small and because the surgical procedures resulted in fetal death in the absence of deceleration. Pregnant women should wear lap belts to prevent ejection from the vehicle, but it should be securely placed across the pelvis and not over the fundus. The high rate of fetal and placental injury in this study indicates that additional restraint may be necessary to reduce the snubbing action of the lap belt.
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