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大学・研究所にある論文を検索できる 「Severity of Placental Abruption in Restrained Pregnant Vehicle Drivers: Correct Seat Belt Use Confirmed by Finite Element Model Analysis」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Severity of Placental Abruption in Restrained Pregnant Vehicle Drivers: Correct Seat Belt Use Confirmed by Finite Element Model Analysis

TANAKA Katsunori MOTOZAWA Yasuki TAKAHASHI Kentaro 20163256 0000-0001-5420-0356 MAKI Tetsuo 20465363 NAKAMURA Mami 70753763 HITOSUGI Masahito 90328352 0000-0001-5243-8766 滋賀医科大学

2022.10.26

概要

Despite wearing a seat belt, pregnant drivers often suffer from negative fetal outcomes in the event of motor accidents. In order to maintain the safety of pregnant drivers and their fetuses, we assessed the severity of placental abruption caused by motor vehicle collisions using computer simulations. We employed a validated pregnant finite element model to determine the area of placental abruption. We investigated frontal vehicle collisions with a speed of 40 km/h or less involving restrained pregnant drivers with a gestational age of 30 weeks. For a crash speed of 40 km/h, the placental abruption area was 7.0% with a correctly positioned lap belt across the lower abdomen; it was 36.3% with the belt positioned at the umbilicus. The area of placental abruption depended on collision speed, but we found that with a correctly positioned belt it likely would not lead to negative fetal outcomes. We examined the effects on placental abruptions of reconfiguring seat belt width and force limiter setting. A wider lap belt and lower force limiter setting reduced the area of placental abruption to 3.5% and 1.1%, respectively; however, they allowed more forward movement upon collision. A 2.5 kN force limiter setting may be appropriate with respect to both forward movement and reduced placental abruption area. This study confirmed the importance of correctly using seat belts for pregnant drivers. It provides valuable evidence about improving safety equipment settings.

Keywords:
pregnant women; motor vehicle collision; placental abruption; numerical simulation;finite element model; seat belt; safety equipment; anterior superior iliac spine; sled test

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参考文献

1. World Health Organization. Fact sheet: Road Traffic Injuries. Available online: https://www.who.int/news-room/fact-sheets/ detail/road-traffic-injuries (accessed on 15 August 2022).

2. Bose, D.; Segui-Gomez, M.; Crandall, J.R. Vulnerability of female drivers involved in motor vehicle crashes: An analysis of US population at risk. Am. J. Public Health 2011, 101, 2368–2373. [CrossRef] [PubMed]

3. Connolly, A.M.; Katz, V.L.; Bash, K.L.; McMahon, M.J.; Hansen, W.F. Trauma and pregnancy. Am. J. Perinatol. 1997, 14, 331–336. [CrossRef]

4. Van Mieghem, T.; Whittle, W.L.; Farine, D.; Seaward, G.; D’Souza, R. Motor vehicle accidents in pregnancy: Implications and management. J. Obstet. Gynaecol. Can. 2013, 35, 303–304. [CrossRef]

5. Morikawa, M.; Yamada, T.; Kato-Hirayama, E.; Nishikawa, A.; Watari, M.; Maeda, N.; Kogo, H.; Minakami, H. Seatbelt use and seat preference among pregnant women in Sapporo, Japan, in 2013. J. Obstet. Gynaecol. Res. 2016, 42, 810–815. [CrossRef] [PubMed]

6. Pearlman, M.D.; Tintinalli, J.E.; Lorenz, R.P. A prospective controlled study of outcome after trauma during pregnancy. Am. J. Obstet. Gynecol. 1990, 162, 1502–1510. [CrossRef]

7. Page, E.W.; King, E.B.; A Merrill, J. Abruptio placentae; dangers of delay in delivery. Obstet. Gynecol. 1954, 3, 385–393. [PubMed]

8. Tanaka, K.; Motozawa, Y.; Takahashi, K.; Maki, T.; Hitosugi, M. Factors affecting the severity of placental abruption in pregnant vehicle drivers: Analysis with a novel finite element model. Healthcare 2021, 10, 27. [CrossRef]

9. Valckx, K.; Iida, T.; Motozawa, Y.; Hitosugi, M. Trend of seatbelt use in pregnant women drivers. J. Jpn. Soc. Perinat. Neonatal Med.2010, 46, 49–53, (in Japanese with English abstract).

10. Klinich, K.; Flannagan, C.A.; Rupp, J.; Sochor, M.; Schneider, L.W.; Pearlman, M.D. Fetal outcome in motor-vehicle crashes: Effects of crash characteristics and maternal restraint. Am. J. Obstet. Gynecol. 2008, 198, 450.e1–450.e9. [CrossRef]

11. Hanahara, K.; Hitosugi, M.; Tateoka, Y. Education for appropriate seatbelt use required for early-phase pregnant women drivers.Sci. Rep. 2020, 10, 17609. [CrossRef]

12. Koh, S.; Hitosugi, M.; Moriguchi, S.; Baba, M.; Tsujimura, S.; Takeda, A.; Takaso, M.; Nakamura, M. Comparison of Motor Vehicle Collision Injuries between Pregnant and Non-Pregnant Women: A Nationwide Collision Data-Based Study. Healthcare 2021, 9, 1414. [CrossRef]

13. Manoogian, S. Comparison of pregnant and non-pregnant occupant crash and injury characteristics based on national crash data.Accid. Anal. Prev. 2015, 74, 69–76. [CrossRef] [PubMed]

14. Ghasedi, M.; Sarfjoo, M.; Bargegol, I. Prediction and Analysis of the Severity and Number of Suburban Accidents Using Logit Model, Factor Analysis and Machine Learning: A case study in a developing country. SN Appl. Sci. 2021, 3, 13. [CrossRef]

15. Martin, P.L.; Audet, T.; Corriveau, H.; Hamel, M.; D’Amours, M.; Smeesters, C. Comparison between younger and older drivers of the effect of obstacle direction on the minimum obstacle distance to brake and avoid a motor vehicle accident. Accid. Anal. Prev. 2010, 42, 1144–1150. [CrossRef] [PubMed]

16. Najafi Moghaddam Gilani, V.; Hosseinian, S.M.; Ghasedi, M.; Nikookar, M. Data-Driven Urban Traffic Accident Analysis and Prediction Using Logit and Machine Learning-Based Pattern Recognition Models. Math. Probl. Eng. 2021, 2021, 9974219. [CrossRef]

17. Dave, D.D.; Jha, B.K. 3D mathematical modeling of calcium signaling in Alzheimer’s disease. Netw. Model. Anal. Health Inform. Bioinform. 2019, 9, 1. [CrossRef]

18. Dave, D.D.; Jha, B.K. On finite element estimation of calcium advection diffusion in a multipolar neuron. J. Eng. Math. 2021,128, 11. [CrossRef]

19. Naik, P.A. Modeling the mechanics of calcium regulation in T lymphocyte: A finite element method approach. Int. J. Biomath.2020, 13, 2050038. [CrossRef]

20. Kumar, H.; Naik, P.A.; Pardasani, K.R. Finite element model to study calcium distribution in T lymphocyte involving buffers and ryanodine receptors. Proc. Natl. Acad. Sci. India Sect. A Phys. Sci. 2018, 88, 585–590. [CrossRef]

21. Motozawa, Y.; Hitosugi, M.; Abe, T.; Tokudome, S. Effects of seatbelts worn by pregnant drivers during low-impact collisions.Am. J. Obstet. Gynecol. 2010, 203, 62.e1–62.e8. [CrossRef]

22. Motozawa, Y.; Hitosugi, M.; Abe, T.; Tokudome, S. Analysis of the kinematics of pregnant drivers during low-speed frontal vehicle collisions. Int. J. Crashworthiness 2010, 15, 235–239. [CrossRef]

23. Takeda, A.; Motozawa, Y.; Takaso, M.; Nakamura, M.; Hattori, S.; Hitosugi, M. Mechanisms of Negative Fetal Outcome in Frontal Vehicle Colli-Sions Involving Unbelted Pregnant Drivers. Healthcare 2020, 9, 25. [CrossRef] [PubMed]

24. Mizuno, K.; Yoshida, R.; Nakajima, Y.; Tanaka, Y.; Ishigaki, R.; Hosokawa, N.; Tanaka, Y.; Hitosugi, M. The effects of inboard shoulder belt and lap belt loadings on chest deflection. Stapp Car Crash J. 2018, 62, 67–91.

25. Rupp, J.D.; Schneider, L.W.; Klinich, K.D. Design, Development and Testing of a New Pregnant Abdomen for the Hybrid III Small Female Crash Test Dummy; University of Michigan Transportation Research Institute: Ann Arbor, MI, USA, 2001.

26. Hitosugi, M.; Motozawa, Y.; Kido, M.; Yokoyama, T.; Kawato, H.; Kuroda, K.; Tokudome, S. Traffic injuries of the pregnant women and fetal or neonatal outcomes. Forensic Sci. Int. 2006, 159, 51–54. [CrossRef]

27. Hitosugi, M.; Koseki, T.; Hariya, T.; Maeda, G.; Moriguchi, S.; Hiraizumi, S. Shorter pregnant women restrained in the rear seat of a car are at risk for serious neck injuries: Biomechanical analysis using a pregnant crash test dummy. Forensic Sci. Int. 2018, 291, 133–137. [CrossRef] [PubMed]

28. Ishiko, A.; Hitosugi, M.; Takaso, M.; Mizuno, K.; Tsuji, S.; Ono, T.; Kimura, F.; Murakami, T. Chest compression of a pregnant woman by a seatbelt might affect fetal outcome, even in minor to moderate frontal vehicle collisions. Forensic Sci. Int. 2019, 302, 109888. [CrossRef]

29. Motozawa, Y.; Hitosugi, M.; Tokudome, S. Analysis of seating position and anthropometric parameters of pregnant Japanese drivers. Traffic Inj. Prev. 2008, 9, 77–82. [CrossRef]

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