Marcinkiewicz Andrzej, Hanke Wojciech
Zakład Epidemiologii Srodowiskowej, Instytut Medycyny Pracy im. prof. J. Nofera, Łódź, Poland.
Med Pr. 2012;63(5):591-8.
From 2008 the obstetric care for pregnancy-related conditions has been the most common cause of sickness absence. One of the postulated causes of frequent use of sick leaves by gravids is the fear of potential harmful and arduous factors in the workplace. An insufficient involvement of occupational health services in the implementation of actions aimed at protecting pregnant employees from risks to their health and safety in the work environment, imposed by Polish law, is also suggested.
A survey on the current state of preventive care of pregnant employees was conducted among gynecologists-obstetricians working in the Lodz hospitals. They were asked to present their opinions in this regard.
In the opinion of the surveyed gynecologists occupational physicians do not implement their tasks involving preventive care of pregnant employees, and the main burden of care lies with their gynecologists. They admitted that the decision to certify that a pregnant employee is temporarily unable to work is determined not only by the health assessment of a pregnant employee, but also by exposures and loads occurring in her workplace. They emphasized the lack of direct contacts between gynecologists and occupational physicians who should share the information on the potential impact of working conditions on the pregnant employee's health.
The survey confirmed the need, noticed also by gynecologists to elaborate standards of specific preventive care addressed to pregnant employees and to set the rules of cooperation between occupational physicians and gynecologist-obstetricians.
自2008年以来，与妊娠相关疾病的产科护理一直是病假最常见的原因。孕妇频繁使用病假的一个假定原因是担心工作场所存在潜在有害和艰巨的因素。研究还表明，职业健康服务在实施旨在保护怀孕员工免受波兰法律规定的工作环境中健康和安全风险的行动方面参与不足。
对罗兹医院的妇产科医生进行了一项关于怀孕员工预防保健现状的调查。要求他们就此发表意见。
在接受调查的妇科医生看来，职业医生没有履行其涉及怀孕员工预防保健的任务，主要的护理负担落在了妇科医生身上。他们承认，证明怀孕员工暂时无法工作的决定不仅取决于对怀孕员工的健康评估，还取决于其工作场所存在的暴露因素和负荷。他们强调，妇科医生和职业医生之间缺乏直接联系，而他们应该共享关于工作条件对怀孕员工健康潜在影响的信息。
该调查证实了妇科医生也注意到的一种需求，即需要制定针对怀孕员工的具体预防保健标准，并设定职业医生与妇产科医生之间的合作规则。
