Maternal car driving capacity after birth: a pilot prospective study randomizing postnatal women to early verses late driving in a driving simulator

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Margaret E HarphamAntonia W Shand

Abstract

Women are commonly advised to avoid driving following cesarean section (CS), however this advice is based upon little evidence. We aimed to assess a woman's capacity to drive a car postbirth using a driving simulator to objectively examine driving behavior and competencies. We conducted a pilot, prospective, randomized study from a tertiary referral hospital in Sydney, Australia. Postnatal women who were regular drivers and had given birth by vaginal delivery (VD), elective cesarean section (ElCS) or emergency cesarean section (EmCS) were randomized to early (2-3 weeks postbirth) or late (5-6 weeks postbirth) driver simulator testing. Driving performance was measured by reaction time to simulated impediments, awareness, attention, braking ability, traffic infringements and accidents. Analysis was by intention to treat. Outcomes were assessed using contingency analysis via two-sample t-tests and Wilcoxen rank-sum tests. 66 women were randomized and 38 attended simulator testing (57.6%; 19 early, 19 late; 8 VD, 14 ElCS, 16 EmCS). There was no difference in reaction times, driver awareness, braking times, or traffic infringements by early versus late testing (all p > 0.05), nor by mode of birth (p > 0.05) amongst the women who com...Continue Reading

References

Feb 1, 1996·British Journal of Anaesthesia·Y TzabarK Millar
Oct 18, 2000·Journal of Psychosomatic Research·C R SoldatosT J Paparrigopoulos
Apr 11, 2001·BMJ : British Medical Journal·P H Millard
Oct 2, 2007·Occupational Medicine·Mary Clayton, Peter Verow
Aug 23, 2008·Acta Obstetricia Et Gynecologica Scandinavica·Laura KvarnstrandBo Jacobsson
May 5, 2010·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Michel B BédardMike Dahlquist
Nov 23, 2010·BMC Musculoskeletal Disorders·Michael C LiebensteinerMartin Krismer
Jan 22, 2011·BMC Pregnancy and Childbirth·Efty P StavrouChristine L Roberts
May 7, 2011·Drug and Alcohol Review·Stefanie Y Leung
Apr 21, 2012·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Jocelyn SedgleyJonathan Morris
Jul 12, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·M NaiduR Thakar
Jun 12, 2013·Orthopedics·David GoodwinEvan Argintar
May 7, 2014·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Carrie GibbonsMichel Bédard
May 14, 2014·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Donald A RedelmeierJon F Barrett
May 17, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·M C LiebensteinerM Krismer
Jul 12, 2016·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Antonia W ShandNatasha Nassar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.