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The goal of this project was to evaluate the effect of occupant seating and seatbelt placement on the risk of adverse fetal outcome from a motor vehicle crash. Unrestrained, 3-pt belt, and 3-pt belt plus airbag tests were simulated with the Virginia Tech pregnant occupant computational model in both a driver-side and passenger-side vehicle interior in frontal impacts at 35 kph. The pregnant occupant model is a small female human body model modified to include a finite element uterine model. The model was previously created and validated with abdominal force-deflection responses. Peak uterine strain was reduced by 30% to 50% in passenger-side simulations vs. driver-side simulations. However, in the unrestrained, passenger-side simulation, the pregnant occupant sustained a HIC score of 2820, suggesting immediate maternal death and a high likelihood of fetal death. Additional simulations were run in which the vertical position of the lap-belt was varied through three heights.