My Obstetrician Got Me Fired

Jackson, Rebecca; Gardner, Sigrid; Torres, Leah; Huchko, Megan J.; Zlatnik, Marya G.; Williams, Joan C.

doi:10.1097/aog.0000000000000971

Cited by 65 publications

(3 citation statements)

References 11 publications

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“…The U.S. is one of the few countries in the world that does not guarantee paid parental leave, despite the benefits associated with leave (e.g., reduced cesarean section rates and lower infant mortality) (6,9). The FMLA gives workers 12 weeks of unpaid time off, but only ∼60% of workers are actually eligible (7,9,10). Employer provision of any paid family leave (PFL) is voluntary and more common among high-paying occupations; in 2018, only 16% of employees had access to PFL (7,8,10).…”

Section: Figure 2 |mentioning

confidence: 99%

“…The FMLA gives workers 12 weeks of unpaid time off, but only ∼60% of workers are actually eligible (7,9,10). Employer provision of any paid family leave (PFL) is voluntary and more common among high-paying occupations; in 2018, only 16% of employees had access to PFL (7,8,10). Policy recommendations could therefore include instituting a universal paid family leave policy and/or temporarily suspending FMLA eligibility requirements (5).…”

Section: Figure 2 |mentioning

confidence: 99%

“…Moreover, the three most common jobs held by pregnant women (elementary school teachers, nurses, and home health aides) put them at significant risk for infection (3). In the absence of universal paid parental leave and strict eligibility requirements for the federal 1993 Family and Medical Leave Act (FMLA), pregnant persons working outside the home may be forced to choose between keeping their job and risking infection (6)(7)(8)(9)(10), leading them to feel like they have little control over their circumstances.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19-Related Changes to Pregnant People's Work-Plans Increase Prenatal Depression

Sherin

Gildner

Thayer

2021

Front. Glob. Womens Health

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The COVID-19 pandemic has caused unprecedented rates of unemployment in the United States. Pregnant workers may be especially affected as they are over-represented in low-wage service and hospitality industries impacted by the pandemic. We surveyed an online convenience sample of currently working pregnant people living in the U.S. (n = 1,417) to determine whether COVID-19-related changes to how long individuals planned to work during their pregnancy, and uncertainty about these changes, were associated with prenatal depression. As hypothesized, both COVID-19-related work-plan changes (OR = 1.81, 95% CI 1.36–2.42, p < 0.001) and uncertainty about the precise nature of these changes (OR = 2.62, 95% CI 1.14–6.0, p = 0.022) were associated with significantly higher odds of a clinically-significant depression score. These effects appeared to be even greater among individuals who continued working outside the home during the pandemic. Since the U.S. is one of the few countries in the world that does not guarantee paid parental leave, pregnant people may be forced to choose between keeping their jobs and risking infection during the COVID-19 pandemic. Our results demonstrate a need for immediate suspension of the eligibility requirements for the Family and Medical Leave Act and/or universal access to both paid family leave and prenatal depression screening. This would help to alleviate these concerns and provide pregnant people with more options while preserving their employment status and financial security.

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Section: Figure 2 |mentioning

confidence: 99%

Section: Figure 2 |mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

COVID-19-Related Changes to Pregnant People's Work-Plans Increase Prenatal Depression

Sherin

Gildner

Thayer

2021

Front. Glob. Womens Health

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Environmental Factors and Reproduction

Sutton¹,

Zlatnik²,

Woodruff³

et al. 2019

Yen and Jaffe's Reproductive Endocrinology

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“Will my work affect my pregnancy?” Resources for anticipating and answering patients’ questions

Grajewski

Rocheleau

Lawson

et al. 2016

American Journal of Obstetrics and Gynecology

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Authoritative information on occupational reproductive hazards is scarce and complex because exposure levels vary, multiple exposures may be present, and the reproductive toxicity of many agents remains unknown. For these reasons, women's health providers may find it challenging to effectively address workplace reproductive health issues with their patients who are pregnant, breast-feeding, or considering pregnancy. Reproductive epidemiologists at the Centers for Disease Control and Prevention National Institute for Occupational Safety and Health answered >200 public requests for occupational reproductive health information during 2009 through 2013. The most frequent occupations represented were health care (41%) and laboratory work (18%). The most common requests for exposure information concerned solvents (14%), anesthetic gases (10%), formaldehyde (7%), infectious agents in laboratories (7%) or health care settings (7%), and physical agents (14%), including ionizing radiation (6%). Information for developing workplace policies or guidelines was sought by 12% of the requestors. Occupational exposure effects on breast-feeding were an increasing concern among working women. Based on information developed in response to these requestors, information is provided for discussing workplace exposures with patients, assessing potential workplace reproductive hazards, and helping patients determine the best options for safe work in pregnancy. Appendices provide resources to address specific occupational exposures, employee groups, personal protective equipment, breast-feeding, and workplace regulations regarding work and pregnancy. These tools can help identify those most at risk of occupational reproductive hazards and improve workers' reproductive health. The information can also be used to inform research priorities and assist the development of workplace reproductive health policies.

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My Obstetrician Got Me Fired

Cited by 65 publications

References 11 publications

COVID-19-Related Changes to Pregnant People's Work-Plans Increase Prenatal Depression

COVID-19-Related Changes to Pregnant People's Work-Plans Increase Prenatal Depression

Environmental Factors and Reproduction

“Will my work affect my pregnancy?” Resources for anticipating and answering patients’ questions

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