Pregnancy outcome in working women with work place stress
Keywords:GPPA, Pregnancy outcome, SGA, WSS
Background: The employment rate of mothers has increased worldwide in recent years. So, there is concern about possible effects of work related risk factors and pregnancy outcome in working women. As a growing percentage of women work outside home before, during, and after pregnancy in most countries and its related occupational factors deserve to be studied in relation to pregnancy outcomes. To identify the effect of work place stress, on pregnancy and perinatal outcome.
Methods: 100 pregnant working women, who were visiting the antenatal care unit and labour room taken into study. They were interviewed using predesigned questionnaire, Physical activity questionnaire, Workplace Stress Survey. Statistical analysis performed using SPSS version 21.
Results: Mean age was 27yrs, with hrs of working/wk of 47hrs, 41 women studied were working in garment factories,46% of them had complications during their antenatal period, 56% of them were primigravidas. Among studied working conditions, working more than 40 hours/ week was significantly associated with high rates of preterm delivery (12%) and Small for gestational age (SGA) (22%) was significantly increased with high work stress.
Conclusions: Among the studied, work conditions for working women working more than 40 hours/week, social stress index were found to be a significant risk factor for adverse pregnancy outcomes. General practice physical activity (GPPA) 80% of both active and moderately active women had some problems. In work place stress survey (WSS), 100% of women encountering problems at work place had problems during their pregnancy, 72% of women who handled stress moderately had problems. Therefore, as long as the health of the pregnant woman permits her to continue work during pregnancy that is not stressful or overloading for her, no adverse effect on pregnancy outcomes is expected.
Arafa M, Amine T, Abdel Fattah M. Association of maternal work with adverse perinatal outcome. CaN J Public Health. 2007;98:217-21.
Royal College of Physicians. Physical and shift work in pregnancy. Occupational aspects of management a national guideline; 2009.
Mozurkewich EL, Luke B, Avni M, Wolf FM. Working conditions and adverse pregnancy outcome: A meta-analysis. Obstet Gynecol. 2000;95:623-35.
Banerjee B. Physical hazards in employment and pregnancy outcome. Indian J Comm Med. 2009;34:89-93.
International Labour Organization. International Standard Classification of Occupations (ISCO-08). Structure, index correspondence with ISCO-88 2008;1.
The General Practice Physical Activity Questionnaire (GPPAQ), Department of Health; 2006.
Workplace stress survey of The American Institute of Stress (AIS); 2011. Available at http://www.stress.org/wp-content/uploads/2011/08/Workplace-Stress- Survey.pdf)
Niedhammer I, O’Mahony D, Daly S, Morrison J, Kelleher C. Occupational predictors of pregnancy outcomes in Irish working women in the Lifeways cohort. BJOG. 2009;116:943-52.
Pompeii LA, Savitz DA, Evenson KR, Rogers B, McMahon M. Physical exertion at work and the risk of preterm delivery and small-for-gestational-age birth. Obstet Gynecol. 2005;106:1279-88.
Zhu JL, Hjollund NH, Olsen J. Shift work, duration of pregnancy, and birth weight: the National Birth Cohort in Denmark. Am J Obstet Gynecol. 2004;191:285-91.
Croteau A, Marcoux S, Brisson C. Work activity during pregnancy, preventive measures, and the risk of preterm delivery. Am J Epidemiol. 2007;166:951-65.
Lee BE, Ha M, Park H, Hong YC, Kim Y, Kim YJ, et al. Psychosocial work stress during pregnancy and birth weight. Pediatr. Perinat Epidemiol. 2011;25:246-54.
Hobel C, Culhane, J. Role of psychosocial and nutritional stress on pregnancy outcome. J Nutr. 2003;133:1709S-17S.
Lockwood CJ. Stress-associated preterm delivery: The role of corticotropin releasing hormone. Am J Obstet Gynecol. 1999;180:S264-S6.
Hathout HM, El-Dalatony MM, Anwar MM, Al-Batanony MA, Shehata NA. Work related risk factors and pregnancy outcome between working women. Pyrex J Res Environ Studies. 2015;2(3):15-19.