Hewitt J B, Tellier L
University of Wisconsin-Milwaukee, School of Nursing 53201, USA.
Public Health Nurs. 1996 Oct;13(5):365-73. doi: 10.1111/j.1525-1446.1996.tb00262.x.
It is estimated that each year 20 million workers in the United States are potentially exposed to a variety of reproductive hazards. In 1986, Wisconsin implemented an advanced practice public health nurse role to serve as the occupational reproductive health consultant to employees, employers, health care professionals, unions, and others. This article describes this advanced practice role in public health nursing and the women who sought reproductive health consultation. Data on the types of workplace exposures that these consultees had during pregnancy are used to illustrate the occupational history and its importance for pre-conceptional and early-pregnancy counseling. The sample for analysis was limited to the 118 women, aged 19-43 years, who received consultation services between 1990 and 1993 and whose pregnancies resulted in live births. Data were abstracted from the consultant's records of telephone and written consultations and linked to birth certificate records to provide information on smoking and alcohol use during pregnancy. The findings are summarized using descriptive statistics. Implications of the findings for public health nursing are discussed.
据估计，美国每年有2000万工人可能接触到各种生殖危害。1986年，威斯康星州设立了高级公共卫生护士职位，为员工、雇主、医疗保健专业人员、工会及其他人员提供职业生殖健康咨询服务。本文描述了这一公共卫生护理中的高级实践角色以及寻求生殖健康咨询的女性。这些咨询对象在孕期的工作场所接触类型数据用于说明职业史及其在孕前和孕早期咨询中的重要性。分析样本仅限于1990年至1993年间接受咨询服务且妊娠结局为活产的118名年龄在19至43岁之间的女性。数据从咨询师的电话和书面咨询记录中提取，并与出生证明记录相关联，以提供孕期吸烟和饮酒情况的信息。研究结果采用描述性统计进行总结。文中还讨论了研究结果对公共卫生护理的启示。
