TY - JOUR
T1 - Physical and Organizational Job Stressors in Pregnancy and Associations With Primary Cesarean Deliveries
AU - Guendelman, Sylvia
AU - Gemmill, Alison
AU - Hosang, Nap
AU - MacDonald, Leslie A.
N1 - Publisher Copyright:
Copyright © 2017 American College of Occupational and Environmental Medicine.
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Objective: The aim of this study was to assess the relationship between exposure to physical and organizational job stressors during pregnancy and cesarean delivery. Methods: We sampled 580 employed women in California who participated in a nested population-based case-control study of birth outcomes. Adjusted multivariate regression analyses estimated associations between heavy lifting, frequent bending, high noise, extreme temperature, prolonged standing and organizational stressors (shift work, inflexible schedules, effort-reward ratio), and primary cesarean (vs vaginal) delivery, controlling for covariates. Results: Women occupationally exposed had higher odds of cesarean. Those exposed to daily manual lifting more than 15 pounds [adjusted odds ratio = 2.54; 95% confidence interval (95% CI) 1.21 to 5.32] and at least four physical job stressors (adjusted odds ratio = 3.49; 95% CI 1.21 to 10.09) had significantly elevated odds of cesarean delivery. Exposed morbid women experienced greater risk; risk was lower among those with schedule flexibility. Conclusion: Associations were found between modifiable exposure to physical job stressors during pregnancy and cesarean delivery.
AB - Objective: The aim of this study was to assess the relationship between exposure to physical and organizational job stressors during pregnancy and cesarean delivery. Methods: We sampled 580 employed women in California who participated in a nested population-based case-control study of birth outcomes. Adjusted multivariate regression analyses estimated associations between heavy lifting, frequent bending, high noise, extreme temperature, prolonged standing and organizational stressors (shift work, inflexible schedules, effort-reward ratio), and primary cesarean (vs vaginal) delivery, controlling for covariates. Results: Women occupationally exposed had higher odds of cesarean. Those exposed to daily manual lifting more than 15 pounds [adjusted odds ratio = 2.54; 95% confidence interval (95% CI) 1.21 to 5.32] and at least four physical job stressors (adjusted odds ratio = 3.49; 95% CI 1.21 to 10.09) had significantly elevated odds of cesarean delivery. Exposed morbid women experienced greater risk; risk was lower among those with schedule flexibility. Conclusion: Associations were found between modifiable exposure to physical job stressors during pregnancy and cesarean delivery.
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U2 - 10.1097/JOM.0000000000001019
DO - 10.1097/JOM.0000000000001019
M3 - Article
C2 - 28498137
AN - SCOPUS:85020674696
SN - 1076-2752
VL - 59
SP - 571
EP - 577
JO - Journal of occupational and environmental medicine
JF - Journal of occupational and environmental medicine
IS - 6
ER -