Tsuchikawa Sachi, Miyajima Yui, Tateoka Yumiko, Hitosugi Masahito
Department of Nursing, Shiga University of Medical Science, Otsu 520-2192, Japan.
Department of Legal Medicine, Shiga University of Medical Science, Otsu 520-2192, Japan.
Healthcare (Basel). 2024 Aug 9;12(16):1590. doi: 10.3390/healthcare12161590.
Optimal seatbelt practices for pregnant women with twins at different gestational ages remain uncertain. To offer recommendations for a comfortable seatbelt system, this cross-sectional observational study explored seatbelt usage and driving habits among women with twins across various pregnancy stages through an online survey that explored driving conditions and comfortable seatbelts at different stages of pregnancy. Women who drove daily before their pregnancy with twins decreased their driving frequency as the pregnancy progressed. Correct seatbelt usage was lower and no seatbelt usage was higher among pregnant women with twins than those with singleton pregnancies. They adapted their seatbelt-wearing techniques to minimise pressure on the chest in the first and third trimesters and the abdomen from the second trimester onwards. The comfortable seatbelts were those that could alleviate belt pressure, featuring waist belts to reduce pressure, wider belts to avoid localised pressure, and shoulder belts resembling a backpack type. When wearing a seatbelt, avoiding pressure on the thorax and abdomen is key for pregnant women with twins. This study suggests that the suitability of driving for pregnant women with twins in their last trimester and the reliability of seatbelts designed for such women should be further examined and validated.
不同孕周的双胞胎孕妇的最佳安全带使用方法仍不明确。为了提供关于舒适安全带系统的建议，这项横断面观察性研究通过一项在线调查，探讨了不同孕期双胞胎孕妇的安全带使用情况和驾驶习惯，该调查涉及孕期不同阶段的驾驶条件和舒适的安全带。怀有双胞胎且在怀孕前每天开车的女性，随着孕期进展，驾驶频率降低。双胞胎孕妇中正确使用安全带的比例较低，不使用安全带的比例高于单胎妊娠孕妇。她们调整了佩戴安全带的技巧，以在孕早期和孕晚期尽量减少胸部压力，从孕中期开始尽量减少腹部压力。舒适的安全带是那些能够减轻安全带压力的，其特点包括有减少压力的腰带、避免局部压力的宽腰带以及类似背包式的肩带。对于怀有双胞胎的孕妇来说，系安全带时避免胸部和腹部受压是关键。本研究表明，应进一步检查和验证双胞胎孕妇在孕晚期驾驶的适宜性以及为此类女性设计的安全带的可靠性。
