Chavkin W
Obstet Gynecol Surv. 1986 Aug;41(8):467-72.
An increasing proportion of obstetric patients are working women. This widens the world of concern for the obstetrician, who must now become familiar with the consequences of workplace exposures and conditions for both maternal and fetal health. This review briefly explores interactions between chemical and physical hazards on the job and the physiologic changes of pregnancy in order to propose ways in which the obstetrician can intervene on behalf of the individual patient, as well as on the public level. Through discussion of the Pregnancy Discrimination Act, job transfer and modification, disability, breastfeeding, etc., emphasis is placed on the social and policy factors that affect reproductive outcome for the working pregnant woman.
越来越多的产科患者是职业女性。这拓宽了产科医生关注的范围，产科医生现在必须熟悉工作场所接触物和工作条件对母婴健康的影响。这篇综述简要探讨了工作中的化学和物理危害与孕期生理变化之间的相互作用，以便提出产科医生可以代表个体患者以及在公共层面进行干预的方法。通过对《怀孕歧视法》、工作调动与调整、残疾、母乳喂养等的讨论，重点关注影响职业孕妇生殖结局的社会和政策因素。
