Lo Cascio G, Caminita M L, Legnazzi V, Auci M A, Lo Cascio N, Picciotto D
Università degli Studi di Palermo, Dipartimento di Medicina Clinica e delle Patologie Emergenti dell'AOUP di Palermo, Sez. di Medicina del Lavoro.
G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):606-7.
In the course of Sanitary Surveillance, a high incidence of pathologies of the superior limbs was encountered in a homogeneous group of midwives operating in the AOUP of Palermo. These findings induced the authors' starting a retrospective study aimed at understanding the possibility of correlation between work effected and damage to people, and geared at being able to frame the findings in the ambit of the related to occupational pathologies. It is a fact that the positions taken by midwives in the course of gynecological vaginal delivery, or those necessary to the maneuvers during childbirth, such as the lateral or the simple and/or exaggerated MacRoberts maneuver, require substantial overcharging of the spinal column and a significant engagement of the muscles of the upper limbs. The analysis of the data related to the working load effected in the various years (number of parts/years), highlighted how the group of midwives exposed to a higher risk were those with a longer working life, this in consideration of the great emphasis placed on the upper limbs. It cannot therefore be ruled out that the pathologies encountered in the group of midwives can be framed in the area of occupational related pathologies.
在卫生监督过程中，作者在巴勒莫地区医院妇产科工作的一组同质助产士中发现上肢疾病的高发病率。这些发现促使作者开展一项回顾性研究，旨在了解工作与人员损伤之间的关联可能性，并能够将这些发现纳入职业性疾病的范畴。事实上，助产士在妇科阴道分娩过程中所采取的姿势，或者分娩时操作所需的姿势，如侧卧位或简单和/或夸张的麦克罗伯茨手法，都需要脊柱承受相当大的负荷以及上肢肌肉的大量参与。对各年份工作负荷数据（每年分娩次数）的分析表明，考虑到上肢承受的巨大压力，工作年限较长的助产士群体面临的风险更高。因此，不能排除助产士群体中遇到的疾病可归类为职业相关疾病的可能性。
