Hootsen, Marij (2022) Effect van fysieke werkbelasting op negatieve zwangerschapsuitkomsten bij artsen in opleiding in Nederland. thesis, Medicine.
Full text available on request.Abstract
Objectives: Physical demanding work during pregnancy can increase the risk of adverse pregnancy outcomes. Physicians during their medical residency often encounter a heavy (physical) workload. The aim of this study is to investigate the relationship between physical workload and adverse pregnancy outcomes among pregnant residents in the Netherlands. Methods: A retrospective cohort study was conducted to address the relationship between physical workload and adverse pregnancy outcomes. A survey was distributed between April 2021 and January 2022 among residents working in the Netherlands. Physical workload consisted of: prolonged standing and/or walking and physical efforts during work including: lifting and/or lugging, lifting >10 kg at a time, lifting >10 times per day, bending, squatting, high reaching, using body strength and the composite physical workload. The outcome measures miscarriage, prematurity, dysmaturity, and hypertensive disorders were analyzed individually and as a composite endpoint using multivariable logistic regression. Results: A total of 565 residents who experienced their first pregnancy during medical residency were included. 37% of the participants experienced an adverse pregnancy outcome (13% miscarriage, 7% prematurity, 10% dysmaturity and 11% hypertensive disorders). Residents who reported standing and/or walking for prolonged periods (≥5 hours per day) at 3 work before 20 weeks of pregnancy had an OR of 2.26 (95% CI 1.20-4.25) for having a miscarriage. An association was also reported between miscarriage and reaching high (OR 3.27, 95% CI 1.09-9.77), using body strength (OR 2.86, 95% CI 1.39-5.86), and the composite physical workload (OR 1.30, 95% CI 1.05-1.61). Regularly high reaching increased the risk of dysmaturity (OR 3.25, 95% CI 1.02-10.36). Finally, high reaching (OR 2.69, 95% CI 1.07-6.79) and use of body strength (OR 1.73, 95% CI 1.00-2.98) increased the likelihood of an adverse pregnancy outcome from the composite endpoint. Conclusion: Prolonged standing and walking (≥5 hours per day), high reaching, use of body strength, and the composite physical workload are associated with an increased risk of miscarriage. High reaching is associated with an increased risk of dysmaturity. High reaching and using body strength are associated with an increased risk of an adverse pregnancy outcome from the composite endpoint.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Prins, Jelmer and Deurloo, Koen and Hertog, Doenja and Koopal, Charlotte |
| Faculty: | Medical Sciences |
| Date Deposited: | 05 Jun 2023 12:03 |
| Last Modified: | 05 Jun 2023 12:03 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3547 |
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