手术操作活动对怀孕外科医生肌肉骨骼疼痛的影响。
The impact of procedural activities on musculoskeletal pain experienced by pregnant surgeons.
作者信息
Wang Connie N, Shah Meghal, Cerier Emily, Wang Theresa N, Craig-Lucas Alayna, Merrill Andrea L, Finkelstein Julia B, Badalato Gina M
机构信息
Department of Urology, Columbia University Irving Medical Center, New York, NY, USA.
Department of Surgery, Columbia University Irving Medical Center, New York, NY, USA.
出版信息
Am J Surg. 2024 Jan;227:90-95. doi: 10.1016/j.amjsurg.2023.09.039. Epub 2023 Oct 4.
BACKGROUND
Two-thirds of surgeons report work-related musculoskeletal disorders (WRMD). There is limited data on WRMD symptoms experienced by pregnant surgeons.
METHODS
We distributed an electronic survey via personal contacts to attending and trainee surgeons across six academic institutions to assess the impact of procedural activities and surgical ergonomics (SE) on WRMD symptoms during pregnancy.
RESULTS
Fifty-three respondents were currently or had been pregnant while clinically active, representing 93 total pregnancies. 94.7% reported that symptoms were exacerbated by workplace activities during pregnancy and 13.2% took unplanned time off work as a result. Beyond 24 weeks of pregnancy, 89.2% of respondents continued to operate/perform procedures, 81.7% worked >24-h shifts and 69.9% performed repetitive lifting >50 pounds. No respondents were aware of any institutional pregnancy-specific SE policies.
CONCLUSIONS
Procedural activities can exacerbate pain symptoms for the pregnant surgeon. SE best practices during pregnancy warrant further attention.
背景
三分之二的外科医生报告患有与工作相关的肌肉骨骼疾病（WRMD）。关于怀孕外科医生所经历的WRMD症状的数据有限。
方法
我们通过个人联系向六个学术机构的主治医生和实习外科医生分发了一份电子调查问卷，以评估手术操作活动和手术人体工程学（SE）对怀孕期间WRMD症状的影响。
结果
53名受访者目前正在怀孕或在临床工作期间曾怀孕，共计93次怀孕。94.7%的受访者报告说，怀孕期间的工作场所活动会加剧症状，13.2%的受访者因此意外请假。怀孕超过24周后，89.2%的受访者继续进行手术/操作，81.7%的受访者工作超过24小时轮班，69.9%的受访者进行超过50磅的重复性提举。没有受访者知晓任何机构针对怀孕的特定SE政策。
结论
手术操作活动会加剧怀孕外科医生的疼痛症状。怀孕期间的SE最佳实践值得进一步关注。
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