185909 Prenatal counseling on seatbelts and reported hospitalizations among pregnant women

Tuesday, October 28, 2008

Mary Elizabeth O'Neil, MPH , Social and Statistical Sciences, RTI International, Atlanta, GA
Nedra Whitehead, PhD, MS , Social and Statistical Sciences, RTI International, Atlanta, GA
PURPOSE. Motor-vehicle injuries are a leading cause of death and the leading cause of hospitalized trauma during pregnancy (Weiss 2001). In 1992, the American College of Obstetricians and Gynecologists (ACOG) recommended prenatal care providers counsel women on seatbelt use in pregnancy. Characteristics of women reporting receiving prenatal counseling on seatbelt use and the frequency of self-reported hospitalizations will be presented.

METHODS. A secondary analysis was conducted using PRAMS (Pregnancy Risk Assessment Monitoring System) data. The analysis was conducted among 15 US states collecting data from 2000 through 2005 and achieving weighted response rates of ≥70% each year. Estimates were calculated using SUDAAN.

RESULTS. Approximately half (51.1%; 95% CI, 50.7%-51.6%) of women receiving prenatal care reported being counseled on seatbelt use. Younger black women with less years of education were most likely to report receiving counseling on seatbelts. Among women receiving prenatal care, 1.2% (95% CI, 1.1%-1.3%) reported being hurt in a car accident and 84.7% (95% CI, 81.6%-87.4%) of those women reported seeking medical care at the hospital or were on bed rest for >2 days. One-fifth of the women (21.2%; 95% CI, 17.8%-24.6%) were hospitalized 1-7 days and 3.0% (95% CI, 1.9%-4.7%) were hospitalized >7 days.

CONCLUSION. Prenatal care providers continue to target seatbelt counseling to women who may be less likely to wear seatbelts. It is recommended that all women receive seatbelt counseling because repeated messages throughout pregnancy reinforces seatbelt use and teaching proper positioning of the seatbelt can improve maternal health and birth outcomes.

Learning Objectives:
- Identify the prevalence of prenatal counseling on seatbelt use and the characteristics of women reporting receiving counseling. - Indentify the frequency of women who reported being in a car accident during pregnancy. - Describe the proper positioning of a seatbelt during pregnancy.

Keywords: Maternal and Child Health, Injury Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Ms. O'Neil is a trained epidemiologist and is a data manager for the CDCís Division of Reproductive Healthís Pregnancy Risk Assessment Monitoring System (PRAMS).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.