Do Nurses Have Worse Pregnancy Outcomes Than Non‐Nurses?

Yang, Hui; Kao, Feng Yu; Chou, Yiing Jenq; Huang, Nicole; Chang, Kuang Yi; Chien, Li Yin

doi:10.1111/birt.12118

Cited by 18 publications

(15 citation statements)

References 51 publications

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“…In addition to individual traits, occupational causes are important factors to be considered, because many reprotoxic agents can be found at work; those who do work spend most of their time at their workplaces. Several occupations and their relationship with the reproductive health of working women have been studied, such as nurses [ 8 – 11 ], hair stylists [ 12 – 19 ], flight attendants [ 20 – 23 ], plastic manufacturers [ 24 – 27 ], and semiconductor workers [ 28 – 33 ]. Studies confined to a specific occupation or industry could elucidate detailed causal relationships; however, the overall reproductive risk of working women in various workplaces could not be shown.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of abortion and adverse pregnancy outcomes among working women in Korea: A cross-sectional study

et al. 2017

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ObjectivesTo investigate incidence and distribution of major adverse reproductive health problems related to various kinds of industries in Korea and to compare risks for major reproductive outcomes to assess maternal health in working and non-working women. MethodsWe requested claim data from the Korean National Health Insurance. We defined reference groups as (1) non-working women and (2) workers in the education field. Women working in each industry were compared with reference groups regarding rates of miscarriage, threatened abortion, preterm labor, and intrauterine growth restriction. Logistic regression was used for multivariate analysis, and age and income adjustment was performed. ResultsThe percentages of all adverse obstetric outcomes were higher in working women than in non-working women. Working women had higher and statistically significant adjusted odds ratios (ORs) for miscarriage in 18 of the 21 industries. The age and income-adjusted OR for miscarriage for all working women was 1.26 (95% confidence interval, 1.23-1.28). Business facilities management and business support services, manufacturing, human health and social work activities, wholesale and retail trade, and professional, scientific, and technical activities were major industries with higher adjusted ORs for adverse obstetric outcomes. ConclusionsWe confirmed that compared to non-working women, working women have a higher risk for adverse pregnancy outcomes. Thus, adverse pregnancy outcomes such as threatened abortion, preterm labor, and intrauterine growth restriction may be associated with working PLOS ONE | https://doi.org/10.1371/journal.pone

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Section: Introductionmentioning

confidence: 99%

Prevalence of abortion and adverse pregnancy outcomes among working women in Korea: A cross-sectional study

et al. 2017

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“…Other relevant occupational risk factors are long worktime, emotional and physical stress, exposure to anesthetic gases and radiation 34 associated with reproductive effects. Cesarean section, which is associated with hemorrhages, one of the most common causes of maternal death, is more frequent in nurses than in other workers 35 .…”

Section: Discussionmentioning

confidence: 99%

Occupation and maternal mortality in Brazil

Feitosa-Assis

Santana

2020

Rev. saúde pública

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OBJECTIVE: To estimate maternal mortality ratio according to occupation in Brazil. METHODS: This is a mortality study conducted with national data from the Mortality Information System (SIM) and the Live Birth Information System (SINASC) in 2015. Maternal mortality ratios were estimated according to the occupation recorded in death certificates, using the Brazilian Classification of Occupation (CBO), version 2002. RESULTS: A total of 1,738 maternal deaths records were found, corresponding to a maternal mortality ratio of 57.6/100,000 live births. It varied among occupational groups, with higher estimates among service and agricultural workers, particularly for domestic workers (123.2/100,000 live births), followed by general agricultural workers (88.3/100,000 live births). Manicurists and nursing technicians also presented high maternal mortality ratio. Maternal occupation was not reported in 17.0% of SIM registers and in 13.2% of SINASC data. Inconsistent records of occupation were found.“Housewife” prevailed in SIM (35.5%) and SINASC (39.1%). CONCLUSIONS: Maternal mortality ratio differs by occupation, suggesting a work contribution, which requires further research focusing occupational risk factors. Socioeconomic factors are closely related to occupation, and their combination with work exposures and the poor access to health services need to be also addressed.

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“…Nursing is a representative occupation requiring shift work in which women are involved. Nurses encounter biological, infectious, chemical, environmental, physical, and psychosocial exposures at work and are at a higher risk for cesarean birth, tocolysis, and threatened preterm labor compared with nonnurses . In addition, Lawson et al suggested that occupational exposures common to nurses are related to their risks of spontaneous abortion.…”

Section: Discussionmentioning

confidence: 99%

“…9,10,12,13 However, whether these results are applicable to other settings remains controversial as another study showed no significant increase in miscarriage rates among shift work nurses. 14 Because research on the relationship between shift work and pregnancy outcomes is limited, the present study was conducted to provide a scientific basis for better worklife balance in pregnant women and key precautions for prenatal care.…”

Section: Introductionmentioning

confidence: 99%

Effects of long working hours and shift work during pregnancy on obstetric and perinatal outcomes: A large prospective cohort study—Japan Environment and Children’s Study

Suzumori

Ebara

Matsuki

et al. 2019

Birth

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Background The work patterns of pregnant women may be related to adverse obstetric and perinatal outcomes. This study aimed to clarify the effects of weekly working time according to frequencies of night shifts during pregnancy on adverse outcomes in Japan. Methods The Japan Environment and Children's Study, a prospective cohort study, was conducted in 15 regions nationwide in Japan. The study population included pregnant women with singleton pregnancies (n = 99 744). The mothers’ working hours and frequencies of night shifts during the first and the second/third trimesters were assessed using a self‐administered questionnaire. Outcome data were collected from medical transcripts. Results Compared with nonworking women, women who worked during pregnancy had significantly increased adjusted odds ratios (aORs) of threatened miscarriage (maximum aOR: 1.47, 95% confidence interval [95% CI]: 1.26‐1.73) and of threatened preterm labor (maximum aOR: 1.63, 95% CI: 1.41‐1.87). Increased aORs were observed for hypertensive disorders of pregnancy (maximum aOR: 2.02, 95% CI: 1.39‐2.93) in women working ≥36 hours per week with night shifts, for vacuum/forceps delivery (maximum aOR: 1.34, 95% CI: 1.22‐1.48) at ≥36 hours with or without night shifts, and for small‐for‐gestational‐age babies (aOR: 1.32, 95% CI: 1.10‐1.59) at ≥46 hours with night shifts. In contrast, lower aORs were observed for gestational diabetes and meconium‐stained amniotic fluid in women working without night shifts. Conclusions Work during pregnancy slightly increased the risks of threatened miscarriage and threatened preterm labor. Long working hours increased the risks of hypertensive disorders of pregnancy, vacuum/forceps delivery, and small‐for‐gestational‐age babies.

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Do Nurses Have Worse Pregnancy Outcomes Than Non‐Nurses?

Abstract: Nurses are at higher risk for cesarean section, tocolysis, and preterm labor than non-nurses. Occupational exposure related to these adverse pregnancy outcomes should be examined. Strategies to decrease the risks should be developed to improve reproductive health among nurses.

Cited by 18 publications

References 51 publications

Prevalence of abortion and adverse pregnancy outcomes among working women in Korea: A cross-sectional study

Prevalence of abortion and adverse pregnancy outcomes among working women in Korea: A cross-sectional study

Occupation and maternal mortality in Brazil

Effects of long working hours and shift work during pregnancy on obstetric and perinatal outcomes: A large prospective cohort study—Japan Environment and Children’s Study

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