The actual condition of driving a car during twin-term pregnancy

Abstract Background Motor vehicle collisions involving pregnant women can lead to serious life-threatening complications for mother and child, such as imminent premature birth, premature separation of the normal placenta, and uterine rupture. Investigating driving habits among women with single and multiple pregnancies is crucial for offering health guidance and preventing traffic injuries. We aimed to clarify the actual driving situation during twin pregnancy and verify information regarding health guidance necessary for mother and child safety. Methods A cross-sectional observational study was conducted via an online survey, including women who had experienced or were currently pregnant with twins. Driving conditions and frequency of common pregnancy complaints were assessed. Basic statistics were calculated, and percentage analyses of categorical variables were performed. Results Among 63 women who drove a car daily before pregnancy, 60.3% continued to drive during twin pregnancies. During pregnancy, 92.1% always wore seatbelts; however, only 68.3% wore them properly. Over 60% of the respondents reported feeling ‘pressured’ or ‘uncomfortable’ while wearing a seatbelt. Common pregnancy complaints frequently perceived by over half of the respondents included ‘Compression of the stomach or abdomen,’ ‘Back or lower back pain’, and ‘Whole body malaise.’ Approximately 60% reported not receiving information on seatbelt use, with 14% obtaining it at their hospitals. Given the higher risk of obstetric complications and faster physical changes in twin pregnancies, the results suggest that seatbelt pressure can be uncomfortable for pregnant women driving a car, potentially leading to inappropriate usage. Conclusion This study clarified the current situation of driving among twin pregnant women. Information on seatbelt use should be provided to twin expectant mothers to ensure the safety of both mother and child.