Reproductive hazards of the American lifestyle: Work during pregnancy
Reproductive hazards of the American lifestyle: Work during pregnancy
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DOI：
10.1016/s0002-9378(97)70607-0
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发表时间：
1997-04-01
影响因子：
9.8
通讯作者：
Turner, LP
中科院分区：
文献类型：
--
作者：
Gabbe, SG;Turner, LP
目的：本研究的目的是回顾有关工作和工作场所危害对怀孕影响的文献，并为照顾职业妇女的从业人员提供建议。研究设计：本研究是对迄今为止文献的回顾。结果：研究检查怀孕期间工作对围产期结局的影响未能产生一致的发现。在恶劣条件下工作或从事已知危险接触工作的妇女中，早产和低出生体重婴儿的发生率有所增加。在工作强度较低的妇女或能够调整其工作活动的妇女中，没有发现不良后果。结论：妇产科医生应详细记录工作场所史，包括活动水平、危险暴露和工作场所改造的难易程度。工作需要长时间站立或行走的妇女在怀孕期间应仔细监测是否有宫内生长受限或症状或早产的迹象。怀孕期间是否继续工作的最终决定应由患者在医生的仔细咨询和与雇主讨论后作出。
OBJECTIVE: The purpose of this study was to review the literature relating to the impact of work and workplace hazards on pregnancy, as well as to provide suggestions to practitioners caring for working women.STUDY DESIGN: This study is a review of the literature to date.RESULTS: Studies examining the impact of work during pregnancy on perinatal outcome have failed to yield consistent findings. An increase in preterm births and low-birth-weight infants has been observed in women who work in adverse conditions or in jobs with known hazardous exposures. No adverse outcomes are seen in women with less strenuous jobs or in women who are able to modify their work activity.CONCLUSION: A careful workplace history should be taken by the obstetrician-gynecologist including level of activity, hazardous exposures, and ease of workplace modification. Women whose work requires prolonged standing or walking should be monitored carefully throughout pregnancy for evidence of intrauterine growth restriction or symptoms or preterm labor. The ultimate decision on continuation of employment during pregnancy should be made by the patient after careful counseling by her physician and discussions with her employer.