Abstract:Our results argue for the need to follow pregnancies at work. However, the low level of prevention activities and the high level of sick leaves raise the question of the management of pregnant women at work.
“…The characteristics of our study population were close to those of the French population of postpartum women in 2016 [34]. Overall, our results are largely consistent with the findings of other French studies, as already discussed [16,17,18].…”
Section: Discussionsupporting
confidence: 92%
“…In the workplace, one study carried out in France showed that, although exposure to occupational risk is frequent among pregnant workers, prevention is still very limited [18]. This study did not investigate the women’s perceptions concerning occupational risks or personal behavioral changes.…”
Limiting exposure to environmental hazards during preconception and pregnancy is essential for preventing adverse pregnancy outcomes or developmental defects in offspring. However, the perception of environmental risk and the behavioral changes of women planning or having a pregnancy have rarely been investigated, except for a few risk factors. We thus performed a cross-sectional study of French postpartum women hospitalized in the Bordeaux University Hospital in 2017 by proposing a self-administrated survey. The main objective was to assess their level of awareness concerning a large panel of environmental hazards and modifications in their behavior during pregnancy in occupational and household environments. Among the 121 respondents, most identified the environment as a major factor for a healthy pregnancy but recognized a lack of knowledge regarding environmental risk factors. The internet, television, and magazines were their main sources of information. Most women modified some of their practices at work or home. These measures were rarely implemented in consultation with a health practitioner, which raises concerns about the relevance of the adjustments made. Our findings highlight the need to improve the quality of information available to women and to help them implement preventive measures in consultation with physicians.
“…The characteristics of our study population were close to those of the French population of postpartum women in 2016 [34]. Overall, our results are largely consistent with the findings of other French studies, as already discussed [16,17,18].…”
Section: Discussionsupporting
confidence: 92%
“…In the workplace, one study carried out in France showed that, although exposure to occupational risk is frequent among pregnant workers, prevention is still very limited [18]. This study did not investigate the women’s perceptions concerning occupational risks or personal behavioral changes.…”
Limiting exposure to environmental hazards during preconception and pregnancy is essential for preventing adverse pregnancy outcomes or developmental defects in offspring. However, the perception of environmental risk and the behavioral changes of women planning or having a pregnancy have rarely been investigated, except for a few risk factors. We thus performed a cross-sectional study of French postpartum women hospitalized in the Bordeaux University Hospital in 2017 by proposing a self-administrated survey. The main objective was to assess their level of awareness concerning a large panel of environmental hazards and modifications in their behavior during pregnancy in occupational and household environments. Among the 121 respondents, most identified the environment as a major factor for a healthy pregnancy but recognized a lack of knowledge regarding environmental risk factors. The internet, television, and magazines were their main sources of information. Most women modified some of their practices at work or home. These measures were rarely implemented in consultation with a health practitioner, which raises concerns about the relevance of the adjustments made. Our findings highlight the need to improve the quality of information available to women and to help them implement preventive measures in consultation with physicians.
“…Limiting exposure to environmental factors should not only be conducted at the individual level. Other actions must also be implemented through (1) regulation, which makes it possible to avoid widening social inequalities in health by not stigmatizing people who are not in a behavioral change process; (2) communication on the appropriate actions to adopt, issued directly to the general population (for example, advice to young adults of childbearing age on the abandonment of unfavorable practices, such as the use of indoor pesticides, candles, and air fresheners); and (3) a specific approach to risk prevention at work, in particular by modifying or adapting the jobs of women who wish to conceive [20]. Indeed, more than 50% of the patients received at the ARTEMIS Center were shown to have been exposed to reproductive risk factors in the workplace.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, more than 50% of the patients received at the ARTEMIS Center were shown to have been exposed to reproductive risk factors in the workplace. In France, there are regulatory provisions to protect pregnant women, but reproductive risk is poorly known and, therefore, poorly identified, both by occupational health services and employers and their employees [20]. As a result, the preventive and protective measures associated with such risk are often inadequate or nonexistent (especially for men).…”
In France, a new approach is being developed through the ARTEMIS Center, which is a prevention platform for environmental health dedicated to reproduction. The objective is to describe the clinical management of patients in the ARTEMIS center. Couples with a condition affecting reproduction are referred to the ARTEMIS center. Management includes a medical consultation and a standardized interview. Current exposure is assessed by a questionnaire that includes exposure circumstances to reproductive risk factor and on the basis of which it is possible to implement preventive action in clinical practice without prejudging the role of such exposure in the onset of disease. From 16 February 2016 to 2 May 2019, 779 patients were seen in the ARTEMIS center. On the day of the consultation, 88.3% men and 72.2% women were employed. Among employed men, 61.5% had at least one instance of occupational exposure to a reproductive risk factor, and among employed women, 57.8%. The main nonprofessional circumstances of exposure identified were proximity of the residence to an agricultural area (35.3%) and domestic pesticide exposure (79.7%). The preventive actions implemented by the ARTEMIS center are targeted to the individual practices of patients. However, patient care also allows their physicians to become familiarized with environmental health.
“…Several studies have identified organizations' shortcomings in the implementation of maternity protection measures, including the absence of a risk assessment and the absence, or inadequacy, of workplace accommodation (Adams et al, 2016a(Adams et al, , 2016bLembrechts & Valgaeren, 2010;Rudin et al, 2018). These shortcomings were also observed in the healthcare sector (Abderhalden-Zellweger et al, 2021;Henrotin et al, 2018). As a result, some employees face a dilemma: ask for sick leave to withdraw from a perceived dangerous work environment, with its potentially negative consequences on their career, professional relationships and salary, or work in an environment that is potentially dangerous to their health and that of their unborn child (Malenfant, 2009).…”
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