Publication details
Profesionální expozice těhotných žen ve vztahu k vývoji těhotenství a plodu
| Title in English | Occupational Exposure of Pregnant Women in Relation to the Evolution of Pregnancy and Fetus |
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| Authors | |
| Year of publication | 1999 |
| Type | Article in Periodical |
| Magazine / Source | Pracovní Lékařství |
| MU Faculty or unit | |
| Citation | |
| Field | Public health care, social medicine |
| Keywords | ELSPAC; pregnancy; smoking; occupational stress; chemical exposure |
| Description | The ELSPAC study included occupational history, which followed exposure of the woman to selected factors of the work enviroment before conception and during pregnancy. The obstetricians and pediatricians filled out extensive questionnaires on the course of pregnancy, delivery and newborn. The result presented in this study include only the 3897 women from CR. Most reported indices related to occupation represent certain sources of stress (shift work, monotouns work, work at noise environment, metal strain). Smoking women were more frequently exposed to these stressogenic factors than the non-smoking women. The work with PC may be considered as a certain kind od stress. Exposure to chemical substances represented other potential risk. Cinditions at work were also subjectively evaluated by the women of the ELSPAC study. When the basic cohort of the pregnant women was divided according to smoking behavious women, statistically significant differences in the frequency of pathological signs became apparent. The frequency of abnormal placenta and fetus malformations in the smokers was higher in those working permanently in the sitting position, growth retardation of the fetus was higher in women working in shifts and bleeding during pregnancy was associated with exposure to chemical substances. In the non-smokers exposed to chemical substances there was a higher incidentes of malformations and growth retardation of the fetus was present in those having worked with PC. The results are considered as preliminary so far and will be subject to further analysis including confounding factors. |