Difficultés pratiques de la mise en application de l’Ordonnance sur la protection de la maternité (Oproma) en Suisse à la lumière de deux cas cliniques

Berset, Denise Grolimund; Krief, Peggy; Praz-Christinaz, Sophie-Maria

doi:10.1016/j.admp.2012.03.581

Cited by 4 publications

(3 citation statements)

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“…However, only 47% were familiar with the content of the Maternity Protection Ordinance, which had entered into force in 2001 (Bay and Simonetti 2013). In the case studies examined by Grolimund-Berset et al (2011), employers, physicians, and workers were all unaware of the legal dispositions about the prevention of occupational risks.…”

Section: Mechanisms Affecting the Application Of Legislationmentioning

confidence: 99%

Implementation, mechanisms and effects of maternity protection legislation: a realist narrative review of the literature

Probst

Zellweger

Mercier

et al. 2018

Int Arch Occup Environ Health

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This study showed the need for a better implementation of MPL during pregnancy. Further research and recommendations for improvements in MPL should consider the diverse mechanisms and effects of its implementation. Barriers and adverse effects of this implementation do not only ensure a lack of information or awareness about MPL, but are also linked to contradictions between requirements to protect employment and protect pregnancy.

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Section: Mechanisms Affecting the Application Of Legislationmentioning

confidence: 99%

Implementation, mechanisms and effects of maternity protection legislation: a realist narrative review of the literature

Probst

Zellweger

Mercier

et al. 2018

Int Arch Occup Environ Health

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“…Furthermore, in contexts where OBGYNs play a role in the application of MPL, it has been shown that they do not necessarily feel competent to judge working conditions and pregnant women's ability to work [31,32]. A case study in Switzerland [33]and a large-scale study in Poland [34]showed that if there were suspicions of occupational risk, some OBGYNs wrote sick leave certificates (not provided for by the respective laws) instead of preventive leave certificates. Certain studies [32,[35][36][37][38][39] have suggested that granting sick leave could be one means adopted by OBGYNs, or requested by pregnant employees themselves, to react to potential workplace dangers.…”

Section: Disparities Between Obgyns' Practices and Those Provided Formentioning

confidence: 99%

Implementation of maternity protection legislation: Gynecologists’ perceptions and practices in French-speaking Switzerland

Abderhalden-Zellweger¹,

Probst²,

Mercier³

et al. 2020

PLoS ONE

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Background In several countries, maternity protection legislations (MPL) confer an essential role to gynecologist-obstetricians (OBGYNs) for the protection of pregnant workers and their future children from occupational exposures. This study explores OBGYNs' practices and difficulties in implementing MPL in the French-speaking part of Switzerland. Methods An online survey was sent to 333 OBGYNs. Data analysis included: 1) descriptive and correlational statistics and 2) hierarchical cluster analysis to identify patterns of practices. Results OBGYNs evoked several problems in MPL implementation: absence of risk analysis in the companies, difficult collaboration with employers, lack of competencies in the field of occupational health. Preventive leave was underused, with sick leave being prescribed instead. Training had a positive effect on OBGYNs' knowledge and implementation of MPL. Hierarchical cluster analysis highlighted three main types of practices: 1) practice in line with legislation; 2) practice on a case-by-case basis; 3) limited practice. OBGYNs with good knowledge of MPL more consistently applied its provisions. Conclusion The implementation of MPL appears challenging for OBGYNs. Collaboration with occupational physicians and training might help OBGYNs to better take on their role in maternity protection. MPL in itself could be improved.

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“…International literature, 13–16 exploratory studies in Switzerland 17 and the project authors’ personal experiences 18 have highlighted several deficiencies in the implementation of the country’s MPL: (1) stakeholders’ lack of understanding about the risks and the legal provisions in place (employers, gynaecologists and, especially, expectant mothers); (2) cases where neither risk analyses nor workstation adaptations are made; and (3) the use of sick leave certificates in place than preventive leave. The latter practice weakens the law as an incentive for companies to develop internal preventive strategies.…”

Section: Introductionmentioning

confidence: 99%

Protection of pregnant women at work in Switzerland: practices, obstacles and resources. A mixed-methods study protocol

et al. 2018

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IntroductionLike most industrialised countries, Switzerland has introduced legislation to protect the health of pregnant workers and their unborn children from workplace exposure. This legislation provides for a risk assessment, adaptations to workplaces and, if the danger is not eliminated, preventive leave (prescribed by a gynaecologist). This study’s first objective is to analyse the degree to which companies, gynaecologists and midwives implement the law. Its second objective is to understand the obstacles and resources of this implementation, with a focus on how relevant stakeholders perceive protective measures and their involvement with them.Methods and analysisData will be collected using mixed methods: (1) online questionnaires for gynaecologists and midwives; telephone questionnaires with company human resources (HR) managers in the healthcare and food production sectors; (2a) case studies of 6–8 companies in each sector, including interviews with stakeholders such as women workers, HR managers and occupational health physicians; (2b) two focus groups, one involving occupational physicians and hygienists, one involving labour inspectors.Quantitative data will be analysed statistically using STATA software V.15. Qualitative data will be transcribed and thematically analysed using MaxQDA software.Ethics and disseminationThe Human Research Ethics Committee of the Canton Vaud (CER-VD) has certified that this research study protocol falls outside of the field of application of the Swiss Federal Act on Research Involving Humans.The publications and recommendations resulting from this study will form the starting point for future improvements to the protection of pregnant women at work and their unborn children.This study started in February 2017 and will continue until January 2020.

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Difficultés pratiques de la mise en application de l’Ordonnance sur la protection de la maternité (Oproma) en Suisse à la lumière de deux cas cliniques

Cited by 4 publications

References 0 publications

Implementation, mechanisms and effects of maternity protection legislation: a realist narrative review of the literature

Implementation, mechanisms and effects of maternity protection legislation: a realist narrative review of the literature

Implementation of maternity protection legislation: Gynecologists’ perceptions and practices in French-speaking Switzerland

Protection of pregnant women at work in Switzerland: practices, obstacles and resources. A mixed-methods study protocol

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