Mamelle N, Munoz F, Laumon B, Measson A, Bertucat I
Unité de recherches épidémiologiques sur les composantes physiques, psychologiques et sociales de la santé, INSERM U 265, Lyon, France.
Pediatrie. 1987;42(4):281-9.
Based on INSERM epidemiological surveys, the authors study the risk of prematurity related to the maternal way of life. The prematurity rate is higher in women younger than 20 years, in women of foreign overseas origin, in unmarried women living in couple or alone, and in women of low socio-economic classes. Work during pregnancy is not in itself a risk factor as women at home present a higher prematurity rate than women at work. However, the strenuous working conditions, which concern about 20% of pregnant women at work, lead to a higher prematurity rate. Other factors such as smoking, alcohol consumption, travelling and housework are studied. The role of psychological modifications linked to pregnancy is discussed, particularly in women who do not present any medical factor. From these data, suggestions are made in order to improve prematurity prevention.
基于法国国家健康与医学研究院的流行病学调查，作者研究了与母亲生活方式相关的早产风险。20岁以下的女性、海外出生的女性、未婚同居或独居的女性以及社会经济阶层较低的女性早产率较高。孕期工作本身并非风险因素，因为在家的女性早产率高于工作的女性。然而，约20%的在职孕妇面临的高强度工作条件会导致更高的早产率。还研究了吸烟、饮酒、旅行和家务等其他因素。讨论了与怀孕相关的心理变化的作用，特别是在没有任何医学因素的女性中。根据这些数据，提出了改善早产预防的建议。
