Do Nurses Have Worse Pregnancy Outcomes Than Non-Nurses?
Auteur Hui-Ju Yang
Auteur Feng-Yu Kao
Auteur Yiing-Jeng Chou
Auteur Nicole Huang
Auteur Kuang-Yi Chang
Auteur Li-Yin Chien
Publication Birth (Berkeley, Calif.)
ISSN 1523-536X
Date Jun 17, 2014
Résumé BACKGROUND: Nurses encounter multiple occupational exposures at work which may harm their reproductive health. The purpose of the study was to compare pregnancy complications and outcomes including cesarean deliveries, tocolysis, miscarriage, and preterm labor between female nurses and comparable women who were not nurses in Taiwan. METHODS: This nationwide population-based study was performed using the National Health Insurance Research Database from 1997 to 2008. We identified 3,656 pregnancies among 2,326 nurses and 111,889 pregnancies among 74,919 non-nurses. A generalized estimating equation was used to compare risks between the two groups. RESULTS: The rates of tocolysis (28.6 vs 22.3%), miscarriage (6.0 vs 5.3%), and preterm labor (8.1 vs 4.4%) were significantly higher among nurses than non-nurses. After adjustment for background differences, nurses had significantly higher risks for cesarean section (adjusted OR 1.12 [95% confidence interval (CI) 1.03-1.22]), tocolysis (OR 1.18 [95% CI 1.09-1.29]), and preterm labor (OR 1.46 [95% CI 1.28-1.67]) than non-nurses. CONCLUSIONS: 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.
Chercher cette référence sur : Google Scholar, Worldcat
doi:10.1111/birt.12118
Laisser une réponse
Vous devez etre connectez Pour poster un commentaire