Rasmussen O B, Sørensen A U, Nielsen C V
Viborg Sygehus, gynaekologisk-obstetrisk afdeling.
Ugeskr Laeger. 1996 Dec 2;158(49):7069-73.
All of 417 pregnancies in 1987-1990 in a rural community were retrospectively evaluated with emphasis on age, parity, previous spontaneous or induced abortion, occupation during pregnancy and sick leave from work. No difference was found in prevalence of sick leave between the employed women and the unemployed. Thirty-five percent of the women experienced sick leave at some time during pregnancy. The greatest single diagnostic group was pelvic insufficiency, which accounted for 33.5% of all days of sick leave up to the 32nd week of gestation. The incidence of pelvic insufficiency was high: 76 in 1000 deliveries. This may in part be due to a change in diagnostic criteria. Logistic regression analysis revealed that being a multipara was associated with a significantly higher risk of sick leave in the present pregnancy. Furthermore, being employed as a nurse, a shop assistant, a seamstress or a factory worker was associated with a significantly higher risk of sick leave during pregnancy in comparison with employment as a secretary. When investigating relationships between occupational conditions and the outcome of pregnancy, sick leave during pregnancy because of the same conditions may interfere significantly.
对1987年至1990年某农村社区的417例妊娠进行了回顾性评估，重点关注年龄、产次、既往自然流产或人工流产史、孕期职业以及病假情况。在职女性和失业女性的病假患病率没有差异。35%的女性在孕期的某个时候休过病假。最大的单一诊断组是骨盆功能不全，在妊娠32周前，该诊断组占所有病假天数的33.5%。骨盆功能不全的发生率很高：每1000例分娩中有76例。这可能部分归因于诊断标准的变化。逻辑回归分析显示，经产妇在本次妊娠中休病假的风险显著更高。此外，与从事秘书工作相比，从事护士、店员、裁缝或工厂工人工作的女性在孕期休病假的风险显著更高。在调查职业条件与妊娠结局之间的关系时，因相同条件导致的孕期病假可能会产生显著干扰。
