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Does placenta position modify the risk of placental abruption in car crashes?

Author

Listed:
  • Jérôme Delotte
  • Michel Behr
  • Lionel Thollon
  • André Bongain
  • Christian Brunet

Abstract

The goal of this paper is to study the influence of placenta position on the risk of placenta abruption following a car crash involving a full term pregnant woman in the driver's seat. We developed an anatomically precise finite element numerical model of a pregnant woman. This numerical model was validated using experimental data from crash tests using cadavers given to science. For a frontal impact at a speed of 20 km/h, the mean value of peak strain levels at the utero-placenta interface were found to be close to 20%, independent of placenta position, representing an adverse foetal outcome risk of approximately 15%. This study found no significant effect of placenta position on the risk of placenta abruption. Our anatomically precise approach does however confirm the interest of using a numerical model when studying injury mechanisms in pregnant women involved in car crashes.

Suggested Citation

  • Jérôme Delotte & Michel Behr & Lionel Thollon & André Bongain & Christian Brunet, 2009. "Does placenta position modify the risk of placental abruption in car crashes?," Computer Methods in Biomechanics and Biomedical Engineering, Taylor & Francis Journals, vol. 12(4), pages 399-405.
  • Handle: RePEc:taf:gcmbxx:v:12:y:2009:i:4:p:399-405
    DOI: 10.1080/10255840802649707
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