韩国女性消防员的妊娠、分娩及产褥期结局
Pregnancy, childbirth, and puerperium outcomes in female firefighters in Korea.
作者信息
Park Juha, Ahn Yeon-Soon, Kim Min-Gi
机构信息
Department of Occupational and Environmental Medicine, Dankook University Hospital, Cheonan, Korea.
Department of Prevention Medicine and Institute of Genomic Cohort, Yonsei Wonju College of Medicine, Wonju, Korea.
出版信息
Ann Occup Environ Med. 2020 Jan 31;32:e8. doi: 10.35371/aoem.2020.32.e8. eCollection 2020.
BACKGROUND
Female firefighters are exposed to hazardous environmental (chemical and physical) and working (shift work, psychological, and ergonomic factors) conditions that have reported or are suspected of adverse effects on reproductive health. However, no previous studies have reported on pregnancy, childbirth, and puerperium outcomes (PCPOs) in female firefighters.
METHODS
The present study compared hospital admissions for PCPOs, based on 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes, among Korean female firefighters with those of the general Korean population. Standardized admission ratios (SARs) and their 95% confidence intervals (CIs) were calculated.
RESULTS
The study population included 1,766 female firefighters. Total follow-up duration was 9,659 person-years. Compared to the general female population, the female firefighters' SARs were higher in all admissions for PCPOs (SAR, 1.92; 95% CI: 1.79-2.05); pregnancy and abortive outcomes (SAR, 1.56; 95% CI: 1.12-2.12); other maternal disorders predominantly related to pregnancy (SAR, 2.65; 95% CI: 1.99-3.46); maternal care related to the fetus, amniotic cavity, and possible delivery problems (SAR, 2.13; 95% CI: 1.74-2.57); labor and delivery complications (SAR, 1.55; 95% CI: 1.15-2.06); delivery (SAR, 1.94; 95% CI: 1.80-2.08); and complications predominantly related to puerperium (SAR, 4.68; 95% CI: 2.02-9.23).
CONCLUSION
The results of this study showed high SARs in all and specific subcategories of PCPOs in female firefighters.
背景
女性消防员面临有害的环境（化学和物理）及工作（轮班工作、心理和人体工程学因素）条件，这些条件已被报告或怀疑会对生殖健康产生不利影响。然而，此前尚无关于女性消防员妊娠、分娩和产褥期结局（PCPOs）的研究报告。
方法
本研究基于《国际疾病分类及相关健康问题统计分类第十次修订本》（ICD - 10）编码，比较了韩国女性消防员与韩国普通人群的PCPOs住院情况。计算了标准化入院率（SARs）及其95%置信区间（CIs）。
结果
研究人群包括1766名女性消防员。总随访时长为9659人年。与普通女性人群相比，女性消防员在所有PCPOs入院情况中的SARs更高（SAR，1.92；95% CI：1.79 - 2.05）；妊娠和流产结局（SAR，1.56；95% CI：1.12 - 2.12）；主要与妊娠相关的其他母体疾病（SAR，2.65；95% CI：1.99 - 3.46）；与胎儿、羊膜腔及可能的分娩问题相关的孕产妇护理（SAR，2.13；95% CI：1.74 - 2.57）；分娩并发症（SAR，1.55；95% CI：1.15 - 2.06）；分娩（SAR，1.94；95% CI：1.80 - 2.08）；以及主要与产褥期相关的并发症（SAR，4.68；95% CI：2.02 - 9.23）。
结论
本研究结果显示，女性消防员在PCPOs的所有类别及特定子类别中的SARs都很高。
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