BMJ 1992;304:614 Road traffic accidents are the commonest cause of blunt maternal trauma in pregnancy.' In the United Kingdom it is compulsory for motorists and passengers to wear seat belts unless they have a medical exemption certificate. Some pregnant women find seat belts uncomfortable and do not wear them, others wear them incorrectly. We recently reported two cases showing the hazards to ...

BACKGROUND Motor vehicles crashes (MVCs) are the leading cause of injury related morbidity and mortality in developed countries. Recent evidence proves that properly used child seat belts can dramatically reduce the risk of severe and life-threatening injury from MVCs. There are rarities of thought and inspiration regarding the use of child seat belts in our society and region, therefore we lac...

PROBLEM Many motorized countries use fixed penalties to deter the most common traffic violations. Fixed penalties are usually given at the spot by a police officer. If the offender accepts the fixed penalty, no court hearing or trial is held. During the years 1995-2004, the rates for fixed penalties for traffic offences in Norway increased substantially. This paper evaluates the effects on comp...

Seat belt use is an important factor in the prevention of automobile accidents involving injuries and fatalities. The current study used a multielement design to compare the "Click It or Ticket" and "Please Buckle Up--I Care" procedures. Results indicate that the Click It or Ticket prompt resulted in a 20-percentage-point increase in seat belt use, and Please Buckle Up-I Care resulted in a 14-p...

We examined the utility of estimating rates of automobile seat belt use with self-report measures. Self-report measures overestimate belt use rates compared to observational surveys of the same population. Laws mandating seat belt use did not substantially affect the degree to which self-reports are upwardly biased. We found self-report measures overestimate observed belt use by 8.9 to 19.4 per...

In 1987, most states raised the speed limit from 55 to 65 mph on portions of their rural interstate highways. There was intense debate about the increase, and numerous evaluations were conducted afterwards. These evaluations share a common problem: they only measure the local effects of the change. But the change must be judged by its system-wide effects. In particular, the new 65 mph limit all...