Department of Healthcare Administration, I-Shou University, Kaohsiung 82445, Taiwan.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan 33302, Taiwan.
Int J Environ Res Public Health. 2020 Jul 19;17(14):5212. doi: 10.3390/ijerph17145212.
To evaluate labor and delivery complications and delivery modes between physicians and white-collar workers in Taiwan, this retrospective population-based study used data from Taiwan's National Health Insurance Research Database. We compared 1530 physicians aged 25 to 50 years old who worked and had singleton births between 2007 and 2013 with 3060 white-collar workers matched by age groups, groups of monthly insured payroll-related premiums, previous cesarean delivery, perinatal history anemia, and gestational diabetes mellitus. The logistic regression models were used to assess the labor and delivery complications between the two groups. Multivariate analysis revealed that physicians had a significantly higher risk of placenta previa (odds ratio (OR) 1.35, 95% confidence interval (CI) 1.08-1.69) and other malpresentation (OR 1.86, 95% CI 1.45-2.39) than white-collar workers, whereas they had a significantly lower risk of placental abruption (OR 0.53, 95% CI 0.40-0.71), preterm delivery (OR 0.75, 95% CI 0.61-0.92), and premature rupture of membranes (OR 0.72, 95% CI 0.59-0.88). Increased risks of some adverse labor and delivery complications were observed among physicians, when compared to white-collar workers. These findings suggest that working women should take preventative action to manage occupational risks during pregnancy.
为了评估台湾地区医生和白领劳动者在分娩并发症和分娩方式方面的差异，本回顾性基于人群的研究使用了来自台湾全民健康保险研究数据库的数据。我们比较了 2007 年至 2013 年间 1530 名年龄在 25 至 50 岁之间、有单胎分娩且工作的医生和 3060 名按年龄组、每月参保薪级相关保费组、既往剖宫产史、围产期贫血和妊娠期糖尿病相匹配的白领劳动者。使用逻辑回归模型评估两组之间的分娩并发症。多变量分析显示，与白领劳动者相比，医生发生前置胎盘的风险显著更高（比值比 (OR) 1.35，95%置信区间 (CI) 1.08-1.69）和其他胎位不正（OR 1.86，95% CI 1.45-2.39）的风险更高，而发生胎盘早剥（OR 0.53，95% CI 0.40-0.71）、早产（OR 0.75，95% CI 0.61-0.92）和胎膜早破（OR 0.72，95% CI 0.59-0.88）的风险显著更低。与白领劳动者相比，医生发生一些不良分娩并发症的风险增加。这些发现表明，与白领劳动者相比，职业女性在怀孕期间应采取预防措施来管理职业风险。
