The Importance of Wearing a Seatbelt During Pregnancy: A Guide for Expecting Mothers

Despite global statistics showing the dangers of not wearing a seatbelt during pregnancy, many expectant mothers still don’t understand the correct way to use a seatbelt. There's also a common misconception that seatbelts are unsafe for pregnant women, which can be deadly in some cases. Injuries from car accidents can include abdominal trauma, internal bleeding, organ damage, placenta separation, and pelvic fractures. Severe impacts may even result in maternal death due to multiple injuries.

Dr. Manal Al-Shafie, a professor of obstetrics and gynecology, affirms that wearing a seatbelt is not dangerous for pregnant women or their babies. In fact, it is crucial for their safety in the event of an accident. Here’s why.

1. The Impact of Car Accidents on Pregnant Women and Their Babies

• Driving During Pregnancy: More pregnant women are driving today, and driving is generally safe during pregnancy. However, as the belly grows in the later months, getting in and out of the car, as well as steering, can become difficult.

• Accident Risks: Studies show that even minor accidents can lead to premature labor (54% risk) or complications like cerebral palsy for the baby. Pregnant women involved in accidents are 70% more likely to experience placenta separation, which can lead to hemorrhage for the mother and affect the baby’s oxygen and nutrient supply.

• Increased Risk: Pregnant women are 54% more likely to experience induced labor, 34% more likely to experience prolonged contractions, and face a 70% increased risk of placenta separation after an accident.

2. Important Details Expectant Mothers Should Know While Driving

• Seatbelt Use: The seatbelt should be positioned below the belly and across the hips, not over the stomach. The upper part of the seatbelt should be close to the neck but not on the belly or over the breast.

• Safe Driving Practices:

  • Adjust the seat and steering wheel to accommodate your growing belly.

  • Increase breaks to stretch and avoid unnecessary exertion.

  • Ensure the headrest is correctly positioned for neck protection.

  • Keep essential items like water and snacks within easy reach.

• Minor Accidents: If involved in any collision, even minor, visit your doctor to ensure both your and your baby’s safety.

3. Correct Way to Wear a Seatbelt While Driving

• Seatbelt Placement: When sitting in the car, pull the seatbelt across your body and secure it in its designated position.

  • Lower Belt: The lower seatbelt should be positioned below the belly, across the top of the thighs, and not over the stomach.

  • Upper Belt: The upper belt should be positioned across the chest, above the belly, and close to the collarbone.

  • Comfortable Tightness: Make sure the seatbelt is snug but not overly tight. If you're uncomfortable, stop and rest.

4. Medical Exceptions to Seatbelt Use

Certain medical conditions may require not using a seatbelt during pregnancy, based on your doctor’s advice. These conditions include:

• High-Risk Pregnancies: Multiple pregnancies or pregnancies with complications.

• Placenta Previa: A condition where the placenta partially or fully covers the cervix, and seatbelt pressure could lead to bleeding.

• Premature Labor Risks: When there’s a risk of early labor, using a seatbelt may cause additional strain on the uterus.

5. Medical Guidelines for Seatbelt Use During Pregnancy

• Individual Assessment: There are no general guidelines for seatbelt use, and the best course of action is to consult your doctor.

• Factors to Discuss:

  • Any complications or risks specific to your pregnancy.

  • The position of the placenta (placenta previa, placental abruption, etc.).

• Your doctor can give tailored advice on seatbelt use to ensure the safety of both you and your baby.

6. Using the Seatbelt Based on Placenta Position

The position of the placenta can impact the advice on seatbelt use:

• Placenta Previa: If the placenta is partially or fully covering the cervix, seatbelt pressure may cause dangerous bleeding.

• Placental Abruption: If the placenta separates from the uterine wall early, the pressure from the seatbelt may increase the risk of this complication.

• Early Pregnancy: In the early stages of pregnancy, seatbelt pressure could impact the placenta's development. In these cases, doctors may recommend avoiding seatbelts if there are any concerns about the pregnancy.

However, for most healthy pregnancies, correct seatbelt use is essential for ensuring the safety of both the mother and the baby in the event of a car accident.