Manual handling of burdens as a predictor of birth outcome—a Finnish Birth Register Study

Kwegyir-Afful, Emma; Lamminpää, Reeta; Selander, Tuomas; Gissler, Mika; Vehviläinen‐Julkunen, Katri; Heinonen, Seppo; Sallmén, Markku; Räsänen, Kimmo

doi:10.1093/eurpub/cky081

Cited by 4 publications

(2 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a previous study, it was reported that work-related activities including prolonged standing, shift and nightshift work, are associated with adverse pregnancy outcomes 20 . Moreover, in Finland, higher exposure to work-related manual handling of burdens was found to be related to adverse perinatal outcomes 2 . In Denmark, the risk of SGA was found to be higher among jobs with person-lifting 21 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Adverse perinatal outcomes among practical nurses: The Finnish Medical Birth Register Study

Kwegyir-Afful¹,

Lamminpää²,

Räsänen³

et al. 2021

Eur J Midwifery

Self Cite

View full text Add to dashboard Cite

INTRODUCTION Work as a practical nurse (nurse assistant) may have an effect on pregnancy outcomes. Exposure to chemical, physical and biological hazards are common among hospital personnel. Stressful work conditions such as shift work, prolonged standing and long working hours have been reported among practical nurses. The aim of this study was to examine whether working as a practical nurse is associated with adverse perinatal outcomes. METHODS Data were obtained from the Finnish Medical Birth Register of 1997–2014. We included 58512 singleton newborns of practical nurses as cases, and 8765 and 39485 newborns of secretaries and housewives, respectively, as controls. Outcomes included preterm birth (<37 weeks), low birthweight (<2500 g), perinatal death (stillbirth or neonatal death within the first seven days), SGA (<2.5th percentile), and breech presentation, among others. Logistic regression analysis was performed and adjusted for confounders such as maternal age, parity, smoking, and diabetes. RESULTS Being a practical nurse had lower likelihood of low birthweight (OR=0.88; 95% CI: 0.81–0.96), perinatal death (OR=0.77; 95% CI: 0.62–0.96), SGA (OR=0.79; 95% CI: 0.72–0.86) and episiotomy (OR=0.90; 95% CI: 0.86–0.94). Practical nursing was significantly related to higher odds of instrumental delivery (OR=1.08; 95% CI: 1.00–1.17), but not with preterm birth, breech presentation, shoulder presentation, or caesarean section. CONCLUSIONS After adjusting for confounding variables, working as a practical nurse was associated with higher likelihood of instrumental delivery, particularly vacuum delivery. The risk for shoulder presentation was nearly two-fold compared to controls. Further studies to determine when mothers started their maternity leave and the consequent effect on pregnancy outcome is highly recommended.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Occupation of the mother has been widely reported as a plausible factor in the causal pathway of adverse birth outcomes 1 , 2 . Women’s participation in the job market is increasing all the time 3 , 4 .…”

Section: Introductionmentioning

confidence: 99%