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SJWEH:怀孕后正常上班可以减少早产风险(meta分析)

2015-05-09 MedSci MedSci原创

很多女性一旦诊断为“宫内妊娠”,家里人就会对其倍加呵护,恨不得天天呆在眼皮子底下,更有甚者直接任性辞职在家专心孕育呵护宝宝。可是这样子就真的好吗?近期Casas M等人对13个欧洲基于人群的出生队列进行了荟萃分析,探究母亲孕期职业(总体和选定的职业)与新生儿出生体重、小于胎龄儿(SGA)、足月低出生体重儿(LBW)、妊娠持续孕周/妊娠时长和早产间的关系,该研究结果为我们揭开了“怀孕后不上班就一定很


很多女性一旦诊断为“宫内妊娠”,家里人就会对其倍加呵护,恨不得天天呆在眼皮子底下,更有甚者直接任性辞职在家专心孕育呵护宝宝。可是这样子就真的好吗?

近期Casas M等人对13个欧洲基于人群的出生队列进行了荟萃分析,探究母亲孕期职业(总体和选定的职业)与新生儿出生体重、小于胎龄儿(SGA)、足月低出生体重儿(LBW)、妊娠持续孕周/妊娠时长和早产间的关系,该研究结果为我们揭开了“怀孕后不上班就一定很好吗”的神秘面纱,并且研究者还从特定的职业出发,探究了几个特定职业与妊娠不良结局的关系,或许该研究结果对于女性就职的选择也能提供一丁点指导建议。

研究者从13个欧洲出生队列中获取了超过200 000的母亲-孩子对的信息,根据母亲孕期从事职业情况,分为受雇佣和未受雇佣。研究者探究的特定职业代表了目前公认的潜在影响女性生殖的主要职业,与之相比较的包含了除此特定职业以外的其他雇员人群。

该项荟萃分析研究结果显示,雇员比非雇员(上班比不上班)有更低的早产风险(OR adj 0.86, 95% CI  0.81-0.91)。大多数的职业领与不良妊娠结局无关。不过研究发现,从事护士职业小于胎龄儿(SGA)的风险更低(OR adj0.91, 95% CI 0.84-0.99),而食品行业的母亲其早产风险更大(OR adj1.50, 95% CI 1.12-2.02)。各队列间异质性很少,证明该荟萃结果是稳健的。

研究结果表明,总体上来看孕期从事某项职业比不上班有更小的早产风险,同时研究者提出特定的职业会对妊娠结局产生特定的影响,如护士行业小于胎龄儿(SGA)的风险更低,食品行业早产风险大等。该研究或许会对以后孕期职业暴露对妊娠结局的影响提供新思路。

原始出处:

Casas M, Cordier S, Martinez D, et al. Maternal occupation during pregnancy, birth weight, and length of gestation: combined analysis of 13 European birth cohorts. Scand J Work Environ Health. 2015 .

本文系Medsci原创编译整理!转载需要先获得授权,并附原文链接。谢谢!

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1887440, encodeId=c3c0188e44055, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Thu Apr 14 20:19:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1895802, encodeId=c5d8189580265, content=<a href='/topic/show?id=4a391158248' target=_blank style='color:#2F92EE;'>#MET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Sun Mar 06 00:19:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=23469, encodeId=54a72346985, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Wed May 13 21:27:00 CST 2015, time=2015-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=23074, encodeId=2ae5230e45b, content=很好,研究结果应该推广, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=zhouanxiu, createdTime=Sun May 10 01:11:00 CST 2015, time=2015-05-10, status=1, ipAttribution=)]
    2016-04-14 guojianrong
  2. [GetPortalCommentsPageByObjectIdResponse(id=1887440, encodeId=c3c0188e44055, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Thu Apr 14 20:19:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1895802, encodeId=c5d8189580265, content=<a href='/topic/show?id=4a391158248' target=_blank style='color:#2F92EE;'>#MET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Sun Mar 06 00:19:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=23469, encodeId=54a72346985, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Wed May 13 21:27:00 CST 2015, time=2015-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=23074, encodeId=2ae5230e45b, content=很好,研究结果应该推广, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=zhouanxiu, createdTime=Sun May 10 01:11:00 CST 2015, time=2015-05-10, status=1, ipAttribution=)]
    2016-03-06 一闲
  3. [GetPortalCommentsPageByObjectIdResponse(id=1887440, encodeId=c3c0188e44055, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Thu Apr 14 20:19:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1895802, encodeId=c5d8189580265, content=<a href='/topic/show?id=4a391158248' target=_blank style='color:#2F92EE;'>#MET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Sun Mar 06 00:19:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=23469, encodeId=54a72346985, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Wed May 13 21:27:00 CST 2015, time=2015-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=23074, encodeId=2ae5230e45b, content=很好,研究结果应该推广, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=zhouanxiu, createdTime=Sun May 10 01:11:00 CST 2015, time=2015-05-10, status=1, ipAttribution=)]
    2015-05-13 huaxipanxing

    看看

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1887440, encodeId=c3c0188e44055, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Thu Apr 14 20:19:00 CST 2016, time=2016-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1895802, encodeId=c5d8189580265, content=<a href='/topic/show?id=4a391158248' target=_blank style='color:#2F92EE;'>#MET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Sun Mar 06 00:19:00 CST 2016, time=2016-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=23469, encodeId=54a72346985, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=161, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Wed May 13 21:27:00 CST 2015, time=2015-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=23074, encodeId=2ae5230e45b, content=很好,研究结果应该推广, beContent=null, objectType=article, channel=null, level=null, likeNumber=148, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=zhouanxiu, createdTime=Sun May 10 01:11:00 CST 2015, time=2015-05-10, status=1, ipAttribution=)]
    2015-05-10 zhouanxiu

    很好,研究结果应该推广

    0

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