Larsson Caroline, Sydsjö Adam, Alexanderson Kristina, Sydsjö Gunilla
Department of Molecular and Clinical Medicine, Division of Obstetrics & Gynaecology of University Hospital, Linköping, Sweden.
Acta Obstet Gynecol Scand. 2006;85(2):165-70. doi: 10.1080/00016340500430345.
In Sweden, sick leave is taken more frequently by pregnant women than by nonpregnant women. This led us to ask if the taking of sick leave during pregnancy could possibly be explained by attitudes to sickness absence held among obstetricians working in antenatal care.
All obstetricians (n = 45) engaged in public antenatal care and at work in May 2001 in seven hospitals in South Eastern Sweden were asked to anonymously respond to questions/statements concerning their work; 87% participated. The results were presented as percent (the median value) on a visual analog scale.
In 60% of all contacts with pregnant women issues such as working conditions, sickness absence or benefit programs were discussed besides the actual pregnancy. In 46% the obstetricians stated that they could not exactly pinpoint a correct medical diagnosis motivating a sickness certificate asked for by the pregnant woman. As the majority of the obstetricians (74%) often did not like to conform to the pregnant women's wishes, unpleasant situations were not uncommon (56%). A conflict was experienced in the dual role that the obstetrician had as the patient's confidant on the one hand and as a representative or gatekeeper for the social security system on the other. Male and female obstetricians did not differ in their opinions on their handling of pregnant women with regard to taking sick leave but for one issue, back pain.
The high degree of work dealing with sickness absence and social benefits at the Antenatal Care Centers seems to have a negative effect on the obstetrician's evaluation of their work environment. The obstetricians' opinion is that pregnant women are sick-listed too frequently, but obstetricians comply as a rule to the women's wishes in order to avoid conflict.
在瑞典，孕妇请病假的频率高于非孕妇。这促使我们思考，孕期请病假是否可能与从事产前护理工作的产科医生对病假的态度有关。
2001年5月，瑞典东南部七家医院所有从事公共产前护理工作的产科医生（n = 45）被要求匿名回答有关其工作的问题/陈述；87%的人参与了调查。结果以视觉模拟量表上的百分比（中位数）呈现。
在与孕妇的所有接触中，60%除了实际的怀孕情况外，还讨论了工作条件、病假或福利计划等问题。46%的产科医生表示，他们无法确切指出孕妇索要病假证明的正确医学诊断依据。由于大多数产科医生（74%）通常不喜欢顺从孕妇的意愿，不愉快的情况并不少见（56%）。产科医生作为患者的知己以及社会保障系统的代表或把关人的双重角色中存在冲突。在处理孕妇病假问题上，男、女产科医生的看法没有差异，但在一个问题上存在不同，即背痛问题。
产前护理中心处理病假和社会福利的工作程度较高，似乎对产科医生对其工作环境的评价产生了负面影响。产科医生认为孕妇被列入病假名单的频率过高，但通常会顺从孕妇的意愿以避免冲突。
