工作对妊娠结局的影响。

Influence of work on pregnancy outcome.

作者信息

Seneviratne S R, Fernando D N

机构信息

Department of Community Medicine, Faculty of Medicine, University of Colombo, Sri Lanka.

出版信息

Int J Gynaecol Obstet. 1994 Apr;45(1):35-40. doi: 10.1016/0020-7292(94)90763-3.

DOI:10.1016/0020-7292(94)90763-3

PMID:7913057

Abstract

OBJECTIVES

To study the effect of working in health services on complications of pregnancy, preterm deliveries and low birthweight (LBW).

METHODS

These indices were studied in 130 pregnancies that occurred within the preceding 5 years in 100 nursing officers (NOs) and 126 pregnancies in 100 clerical workers (CWs). Risk was assessed by calculating odds ratios. Confounding and interaction effects were studied by stratification.

RESULTS

Socio-economic background and antenatal care utilization in the two groups were similar. Occurrence of LBW was not significantly different (OR = 1.04; 0.57 < OR < 1.89; P = 0.89) although complications of pregnancy (OR = 2.18; 1.09 < OR < 4.38; P = 0.017) and preterm deliveries (OR = 5.64; 1.15 < OR < 37.73; P = 0.013) were higher in NOs. Further analysis showed that employment in health services has a positive effect in prevention of LBW among NOs in the presence of other risk factors.

CONCLUSIONS

Working in the health services had a negative effect on some of the indices while benefits of such employment had a positive effect on birth-weight.

摘要

目的

研究从事卫生服务工作对妊娠并发症、早产和低出生体重（LBW）的影响。

方法

对100名护士（NO）在过去5年内发生的130次妊娠以及100名文职人员（CW）的126次妊娠的这些指标进行了研究。通过计算比值比评估风险。通过分层研究混杂和交互作用。

结果

两组的社会经济背景和产前护理利用情况相似。低出生体重的发生率无显著差异（比值比=1.04；0.57<比值比<1.89；P=0.89），尽管护士组的妊娠并发症（比值比=2.18；1.09<比值比<4.38；P=0.017）和早产（比值比=5.64；1.15<比值比<37.73；P=0.013）发生率较高。进一步分析表明，在存在其他风险因素的情况下，从事卫生服务工作对护士预防低出生体重有积极作用。