Occupational working conditions as risk factors for preterm birth in Benin, West Africa
Occupational working conditions as risk factors for preterm birth in Benin, West Africa
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DOI：
10.1016/s0398-7620(06)76709-8
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发表时间：
2006-04-01
影响因子：
0.9
通讯作者：
Boris, NW
中科院分区：
文献类型：
--
作者：
Agbla, F;Ergin, A;Boris, NW
背景：虽然发达国家的许多研究已经确定了孕期各种职业工作条件与早产之间的关系，但在孕期产妇体力劳动和早产普遍存在的发展中国家，可获得的数据很少。本研究的目的是调查西非贝宁共和国孕妇艰难的职业工作条件与早产的关系。方法：病例对照研究包括99名早产儿和104名足月儿的妇女。参与者是贝宁共和国的居民，他们在2000年5月1日至2002年4月30日期间分娩。早产被定义为在妊娠37周之前分娩。研究样本是从出生起随机选择的。唱片。收集的数据包括回顾出生记录和对母亲进行半结构化的个人访谈。结果：虽然母亲孕期工作状态不会增加早产的风险，但每周负重负荷超过5天与早产显著相关(调整后OR：5.0；95%CI：1.38~18.8；P=0.018)。负重和每周工作超过5天也与早产显著相关(调整后OR：6.88；95%CI：1.45~32.2；P=0.015)。虽然使用前瞻性设计复制这些数据是必要的，但我们的结果表明，教育妇女与怀孕期间繁重的劳动相关的风险是必要的。
Background: Although many studies from developed countries have established a relationship between various occupational working conditions during pregnancy and preterm birth, there is little data available in developing countries where both maternal physical labor during pregnancy and preterm birth are common. The aim of this study was to examine the association between difficult occupational working conditions of pregnant women and premature births in the Republic of Benin in West Africa.Method: The case-control study included 99 women with preterm babies and 104 women with full-term babies. The participants were residents of the Republic of Benin who delivered between May 1, 2000 and April 30, 2002. Preterm delivery was defined as delivery prior to 37 completed weeks of gestation. The study sample was selected randomly from birth. records. Data were collected both reviewing birth records and conducting semi-structured personal interviews with mothers. Logistic regression models were adjusted for mother's age, mother's education, health problems during pregnancy, and twin birth.Results: Although working state of mother during pregnancy did not increase the risk for preterm delivery, carrying heavy loads more than 5 days per week was significantly associated with having a preterm baby (adjusted OR: 5.0; 95% CI: 1.38-18.8; P=0.018). Carrying heavy loads and having worked a lot more than 5 days per week was also significantly associated with preterm birth (adjusted OR: 6.88; 95% Cl: 1.45-32.2; P=0.015).Conclusion: Reducing heavy loads carrying during pregnancy may also prevent preterm delivery in developing countries. Though replication of these data using a prospective design is needed, our results suggest that educating women about the risks associated with heavy labor during pregnancy is indicated.