Dokter, L. (Laura) (2021) Langere werktijden mogelijke risicofactor voor negatieve zwangerschapsuitkomsten onder arts-assistenten in Nederland. thesis, Medicine.
Full text available on request.Abstract
Introduction: There has been an increase in the percentage of female doctors and because of that more pregnant doctors during their medical residency. Although a variety of adverse pregnancy outcomes related to working conditions have been reported among residents, in the Netherlands this has never been extensively researched before. This is the first study which examines the relationship between working conditions and adverse pregnancy outcomes on a larger scale, among pregnant residents in the Netherlands. Methods: In June 2021, a survey on pregnancy during residency training and working conditions was conducted among residents in the Netherlands. By means of this survey a composit endpoint of the pregnancy outcomes miscarriage, preterm birth, dysmaturity and hypertensive disorders and the predictors working shifts and working hours was studied. 209 pregnancies were included. Results: 20% of the respondents reported a negative pregnancy outcome. The majority (40% of negative pregnancy outcomes) were in the group of residents within general medical practice. An increase in working hours in the first and last 20 weeks of the pregnancy shows an increased risk of negative pregnancy outcomes (OR = 1.09; 95% CI = 0.90-1.31 en OR = 1.07; 95% CI = 0.90-1.28), although statistically not significant. There was no association between working shifts and negative pregnancy outcomes. Conclusion: No firm conclusions about an association can be drawn for any of the results. Larger-scale research with a higher number of respondents will possibly be able to demonstrate possible associations.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Groenewout, drs. M. and Deurloo, dr. K.L. and Hertog, D. and Koopal, C. |
| Faculty: | Medical Sciences |
| Date Deposited: | 07 Jan 2022 10:26 |
| Last Modified: | 07 Jan 2022 10:26 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2996 |
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