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Motor vehicle accidents: clinical signs can flag some injuries that are missed by ultrasound.(Obstetrics)
YOSEMITE, CALIF. -- Ultrasound will not detect every case of placental abruption in women who've had a relatively minor car accident, so physicians need to look for clinical signs such as increased uterine activity. Dr. Washington C. Hill said at a conference on obstetrics and gynecology sponsored by Symposia Medicus.
Trauma is the leading cause of morbidity and mortality in pregnant women, and motor vehicle accidents account for 60%-80% of all blunt trauma that occurs to pregnant women, said Dr. Hill, director of maternal-fetal medicine at Sarasota (Fla.) Memorial Hospital.
Pregnant women who are hit by a car when they aren't in a vehicle account for another 10% of all blunt trauma.
Motor vehicle accidents occur in 1 in every 12 pregnancies. The reason they are so common might be physiologic, suggested Dr. Hill, who reviews cases of maternal mortality for the state of Florida. Surveys suggest that the time of life when women are most prone to injuries of any kind is the third trimester. These women are probably prone to accidents at that time because their body size has changed so much since they became pregnant, but one cannot rule out the possibility that hormones or some other part of pregnancy-related biology affects concentration, he said.
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Source: HighBeam Research, Motor vehicle accidents: clinical signs can flag some injuries that...