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WARNING – PREGNANT WOMEN Seat Belts Can Kill Your Baby Written and Narrated By Jim Hofferberth Former Director, National Highway Traffic Safety Administration Retired Director, Vehicle Research & Test Center, NHTSA

WARNING – PREGNANT WOMEN Seat Belts Can Kill Your Baby Written and Narrated By Jim Hofferberth Former Director, National Highway Traffic Safety Administration

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Slide 2 WARNING PREGNANT WOMEN Seat Belts Can Kill Your Baby Written and Narrated By Jim Hofferberth Former Director, National Highway Traffic Safety Administration Retired Director, Vehicle Research & Test Center, NHTSA Slide 3 Injuries During Pregnancy Tracking & Understanding the Hidden Epidemic Hank Weiss PhD, Associate Professor Center for Injury Research and Control University of Pittsburgh AMCHP 2005 Conference Slide 4 The unborn child of a pregnant woman is 5 Times More Likely To Be Injured Or Killed in a crash than another infant or child riding in the same car. Slide 5 Risk of Fetal Death With Lap & Shoulder Belt 16 mph26% 22 mph51% 28 mph76% 34 mph90% Research Projections based on Computer Modeling Slide 6 Clinical Studies Have Shown That the lap belt has been implicated in causing specific trauma to the placenta and fetus in relatively minor vehicular accidents. And the tightened lap belt can cause direct injury to the fetus without severely injuring the pregnant woman. [Crosby, W. M. and Costiloe, J. P. (1971). Safety of lapbelt restraint for pregnant victims of automobile collisions. New England Journal of Medicine, 284, 632], [Klinich, K.D., Schneider, L.W., Moore, J.L., and Pearlman, M.D. (1998). Injuries to pregnant occupants in automotive crashes. In 16'* ESV Conference Proceedings. Washington, DC: National Highway Traffic Safety Administration, 98-SP-P- 17,2046-2056 [Griffiths, M., Hillman, G., and Usherwood, M. M. (1991). Seat belt injury in pregnancy resulting in fetal death. A need for education? Case reports. British Journal of Obstetrics and Gynaecology, 98,420-321] Slide 7 Slide 8 Slide 9 Slide 10 Slide 11 Slide 12 Slide 13 ....the seat belt should not be placed over the fundus, Placental Abruption Is The Most Frequently Cited Cause Of Fetal Death Slide 14 Iliac Crests 2 Inches Slide 15 Slide 16 Slide 17 Slide 18 Slide 19 Slide 20 Slide 21 Slide 22 Slide 23 Slide 24 Slide 25 Slide 26 Slide 27 Slide 28 Slide 29 Slide 30 Slide 31 Slide 32 Slide 33 Slide 34 Slide 35 Slide 36 Slide 37 Pregnant women not wearing a seatbelt 3 times more likely to experience fetal death Hyde et al (ObGyn, 2003): Effect of motor vehicle crashes on birth & fetal outcomes in Utah Slide 38 Umpire Pad (US 349589) ? Crotch Strap (US5005865) INADEQUATE Crotch Strap #1 www.tummyshield.com INADEQUATE PiXie Pregnancy Harness www.pregnancyseatbeltharness.com, INADEQUATE Partial Shell (US 4610463) DANGEROUS Partial Shell (US 5213366-2) DANGEROUS Gravida Protection (JP, H-40060, U) DANGEROUS Full Shell (US 8070184 B2) www.jimhof.com NOT AVAILABLE The Technology Exists To Fix This Problem Slide 39 In the early 1970, research showed that: The high rate of fetal and placental injury in this study indicates that additional restraint may necessary to reduce the snubbing action of the lap belt. *(1972). Effects of Lap Belt and Three Point Restraints on Pregnant Baboons Subjected to Deceleration. Fifteenth Stapp Crash Conference Proceedings, SAE #710850, 68-83.] * [Crosby, Snyder, Snow, Hanson, (1968) Impact Studies in Pregnancy, Experimental Studies, Civil Aeromedica Inst. Oklahoma City Okla.] Slide 40 There Is No Excuse For NHTSAS FAILURE to correct this situation Slide 41 I Am Demanding That NHTSA Issue A Federal Motor Vehicle Safety Standard On Restraints For Pregnant Women 1.Properly Advise Pregnant Women About The Risks Of Driving Or Riding In A Car When They Are Pregnant, And 2.Assure That Only Safe And Effective Systems Are Offered For Sale In The United States. Slide 42 Please Help Submit Your Petition For Rulemaking To: Mr. David L. Strickland, Administrator National Highway Traffic Safety Administration 1200 New Jersey Avenue, SE West Building Washington, DC 20590 Label It Petition For Rulemaking Use USPS (Snail Mail) www.jimhof.com