Introduction: The employment rate of mothers has increased worldwide in recent years. So, there is concern about possible effects of work related risk factors and pregnancy outcome among working women. Aim of Work: To study the relation between work related risk factors and some adverse pregnancy outcome among a representative sample of pregnant women attending the antenatal care clinic at Beni-Suef university hospital in Egypt. Materials and Methods: 500 pregnant women who were visiting the antenatal care clinic at Beni-suef university hospital were our target group. They were interviewed using predesigned questionnaire including physical activity questionnaire, Job Stress Questionnaire, Workplace Stress Survey. Body mass index (BMI) is measured. Statistical analysis performed using SPSS version 21. Results: Among studied socio-demographic factors, age and educational level and body mass index were significantly associated with adverse pregnancy outcomes. Perinatal death was significantly higher among working women (odds ratio = 1.9, CI= 101-3.8). Among studied working conditions, working more than 40 hours/ week was significantly associated with high rate of preterm delivery and small gestational age (SGA) increase significantly with high work stress. Conclusion: Among the studied work conditions for working women, working more than 40 hours/ week and social stress index were found to be a significant risk factors for adverse pregnancy outcomes. Other factors as shift work, work categories, and physical activity score showed no significant association with pregnancy outcomes. Therefore, as long as the health of pregnant women permits her to continue work during pregnancy that is not stressful or overloading for her, no adverse effect on pregnancy outcomes is expected.
Introduction: Night shift is one of the most frequent reasons for disturbance of circadian rhythm, altering biological functions and can negatively affect physical, psychological well-being and work performance. Aim of work: To evaluate the associations between circadian rhythm differences in shift-working nurses by using serum cortisol level and depression. Materials and Methods: a cross-sectional study was conducted by means of anonymous self-administered questionnaire for one hundred ninety-two nurses working at Menoufiya University Hospital, Shebin Al-Kom City, Egypt. The study involved 96 nurses working night-shifts and 96 in day-shifts. To assess their depression levels, self-rated depression scale (SDS) was used. Serum cortisol level was measured at 8:00 am for all respondents. Results: The response rate was 97%. A significant increase in serum cortisol level was observed among night-shift respondents compared to day-shift ones. Among night-shift workers, older nurses with more years of employment and higher cortisol levels were significantly more prone to develop depression (P<0.001). Conclusion: Nurses working night-shifts need special attention due to the higher risk of depression and possibly other undesirable health effects. Systems for early identification of nurses with depression and for providing environments allowing nurses at work to take rest and relax in the early morning after night shift are necessary.
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