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沙特阿拉伯阿卜杜勒-阿齐兹国王大学医院医生中妊娠丢失的患病率及相关因素。

Prevalence and factors associated with pregnancy loss among physicians in King Abdul-Aziz University Hospital, Saudi Arabia.

作者信息

Alshora Weam Bashier I, Mohammad Kalo Bakr

机构信息

Department of Family Medicine, King Abdulaziz University Hospital, PO Box 55096, Jeddah, 21534, Saudi Arabia.

Ministry of Health, Public Health Administration, P.O. Box 8364, Zip Code 21955, Makkah A-Mokarramah, Awali Avenue, Abdul-Aziz Al-Refaee Street, Awali PHC, Saudi Arabia.

出版信息

Taiwan J Obstet Gynecol. 2018 Apr;57(2):231-235. doi: 10.1016/j.tjog.2018.02.011.

Abstract

OBJECTIVE

Medical profession is a stressful occupation as it carries potential risk for pregnancy outcome. There is lack of researches regarding the pregnancy loss among physicians working in hospitals in Saudi Arabia. The current study aims at estimating the prevalence and factors associated with pregnancy loss among female physicians working at King Abdul-Aziz University Hospital in Jeddah, September, 2015.

MATERIALS AND METHODS

A cross sectional study has been conducted, which included all the female physicians working at King Abdul-Aziz University Hospital in Jeddah by filling a self-administered online questionnaire.

RESULTS

Out of all responding physicians (n = 92), the majority were Saudis (93.5%), who were mostly married (89.1%) and rest were either divorced (8.7%) or widowed (2.2%). Seventeen female physicians had pregnancy loss before (18.5%) with a total of 25 losses, which were mostly occurred during first trimester, especially while working as residents (40%), the average monthly working hours in the first pregnancy loss was (median; IQR, 160, 110-198 h). No statistically significant difference could be detected regarding the variation in pregnancy losses according to nationality marital status nor specialty.

CONCLUSION

Most of the pregnancy losses in physicians occurred in first trimester during residency with a relatively longer monthly working hours. Further researches are needed on a larger sample and wider scale with inclusion of other pertinent factors to enable judging on the independent relationship of pregnancy loss and medical profession.

摘要

目的

医学职业是一项压力较大的职业,因为它对妊娠结局存在潜在风险。沙特阿拉伯医院工作的医生中,关于妊娠丢失的研究较少。本研究旨在估计2015年9月在吉达阿卜杜勒 - 阿齐兹国王大学医院工作的女性医生中妊娠丢失的患病率及相关因素。

材料与方法

进行了一项横断面研究,通过填写一份自行管理的在线问卷,纳入了所有在吉达阿卜杜勒 - 阿齐兹国王大学医院工作的女性医生。

结果

在所有回复的医生(n = 92)中,大多数是沙特人(93.5%),她们大多已婚(89.1%),其余为离婚(8.7%)或丧偶(2.2%)。17名女性医生曾有过妊娠丢失(18.5%),共有25次妊娠丢失,大多发生在孕早期,尤其是担任住院医师期间(40%),首次妊娠丢失时的平均每月工作时长为(中位数;四分位间距,160,110 - 198小时)。根据国籍、婚姻状况和专业,妊娠丢失的差异无统计学意义。

结论

医生的大多数妊娠丢失发生在住院医师培训期间的孕早期,且每月工作时长相对较长。需要对更大样本和更广泛范围进行进一步研究,并纳入其他相关因素,以便判断妊娠丢失与医学职业之间的独立关系。

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