Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model (2024)

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IJERPH

Volume 21

Issue 7

10.3390/ijerph21070827

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Article

by

Tomohiro Izumiyama

1,*,

Atsuno Tsuji

1,

Katsunori Tanaka

Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model (8)Katsunori Tanaka

2,

Yumiko Tateoka

3,

Ryusuke Asahi

1Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model (11),

Hiroshi Hamano

1,

Masahito Hitosugi

Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model (13)Masahito Hitosugi

2Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model (14) and

Shigeru Sugimoto

Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model (15)Shigeru Sugimoto

1

1

Crash Safety Development Department, Vehicle Development Division, Mazda Motor Corporation, Hiroshima 730-8670, Japan

2

Department of Legal Medicine, Shiga University of Medical Science, Otsu 520-2192, Japan

3

Department of Clinical Nursing, Shiga University of Medical Science, Otsu 520-2192, Japan

*

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2024, 21(7), 827; https://doi.org/10.3390/ijerph21070827 (registeringDOI)

Submission received: 8 May 2024 / Revised: 22 June 2024 / Accepted: 24 June 2024 / Published: 25 June 2024

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Abstract

The aims of this study were as follows: the (a) creation of a pregnant occupant finite element model based on pregnant uterine data from sonography, (b) development of the evaluation method for placental abruption using this model and (c) analysis of the effects of three factors (collision speed, seatbelt position and placental position) on the severity of placental abruption in simulations of vehicle collisions. The 30-week pregnant occupant model was developed with the uterine model including the placenta, uterine–placental interface, fetus, amniotic fluid and surrounding ligaments. A method for evaluating the severity of placental abruption on this pregnant model was established, and the effects of these factors on the severity of the injury were analyzed. As a result, a higher risk of placental abruption was observed in high collision speeds, seatbelt position over the abdomen and anterior-fundal placenta. Lower collision speeds and seatbelt position on the iliac wings prevented severe placental abruption regardless of placental positions. These results suggested that safe driving and keeping seatbelt position on the iliac wings were essential to decrease the severity of this injury. From the analysis of the mechanism for placental abruption, the following hypothesis was proposed: a shear at adhesive sites between the uterus and placenta due to direct seatbelt loading to the uterus.

Keywords: placental abruption; collision speed; seatbelt position; placental position; 30-week pregnant occupant; shear; seatbelt loading

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MDPI and ACS Style

Izumiyama, T.; Tsuji, A.; Tanaka, K.; Tateoka, Y.; Asahi, R.; Hamano, H.; Hitosugi, M.; Sugimoto, S. Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model. Int. J. Environ. Res. Public Health 2024, 21, 827. https://doi.org/10.3390/ijerph21070827

AMA Style

Izumiyama T, Tsuji A, Tanaka K, Tateoka Y, Asahi R, Hamano H, Hitosugi M, Sugimoto S. Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model. International Journal of Environmental Research and Public Health. 2024; 21(7):827. https://doi.org/10.3390/ijerph21070827

Chicago/Turabian Style

Izumiyama, Tomohiro, Atsuno Tsuji, Katsunori Tanaka, Yumiko Tateoka, Ryusuke Asahi, Hiroshi Hamano, Masahito Hitosugi, and Shigeru Sugimoto. 2024. "Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model" International Journal of Environmental Research and Public Health 21, no. 7: 827. https://doi.org/10.3390/ijerph21070827

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

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MDPI and ACS Style

Izumiyama, T.; Tsuji, A.; Tanaka, K.; Tateoka, Y.; Asahi, R.; Hamano, H.; Hitosugi, M.; Sugimoto, S. Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model. Int. J. Environ. Res. Public Health 2024, 21, 827. https://doi.org/10.3390/ijerph21070827

AMA Style

Izumiyama T, Tsuji A, Tanaka K, Tateoka Y, Asahi R, Hamano H, Hitosugi M, Sugimoto S. Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model. International Journal of Environmental Research and Public Health. 2024; 21(7):827. https://doi.org/10.3390/ijerph21070827

Chicago/Turabian Style

Izumiyama, Tomohiro, Atsuno Tsuji, Katsunori Tanaka, Yumiko Tateoka, Ryusuke Asahi, Hiroshi Hamano, Masahito Hitosugi, and Shigeru Sugimoto. 2024. "Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model" International Journal of Environmental Research and Public Health 21, no. 7: 827. https://doi.org/10.3390/ijerph21070827

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

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Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model (16)

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Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model (2024)
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