2.50
Hdl Handle:
http://hdl.handle.net/10755/335539
Category:
Abstract
Type:
Presentation
Title:
Do Nurses Have Worse Pregnancy Outcomes?
Author(s):
Yang, Hui-Ju; Chang, Kuang-Yi; Chien, Li-Yin; Chou, Yiing-Jenq; Kao, Feng-yu
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Hui-Ju Yang, MS, RN, hjyang@vghtpe.gov.tw; Kuang-Yi Chang, PhD; Li-Yin Chien, ScD; Yiing-Jenq Chou, PhD; Feng-yu Kao
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: Nurses encounter multiple occupational exposures in their daily work which may harm their reproductive health. The purpose of the study was to compare pregnancy complications and outcomes including cesarean deliveries, tocolysis, abortion, and preterm births between female nurses and non-nurse comparative women in Taiwan. Methods: This nationwide population-based study was performed using the National Health Insurance Research Database from 1997 to 2008. We identified 3,656 pregnancies among 2,326 nurses and 111,889 pregnancies among 74,919 non-nurses. Generalized estimating equation was used to compare risks between the two groups. Results: The rate of tocolysis (28.61% vs. 22.30%), abortion (6.21% vs. 5.37%), and preterm birth (8.07% vs. 5.66%) were significantly higher among nurses than non-nurses. After adjustment for background differences, nurses had significantly higher risk for cesarean section (adjusted OR=1.12, 95% confidence interval [CI] 1.03-1.22), tocolysis (OR=1.18, 95% CI 1.09-1.29), and preterm birth (OR=1.46, 95% CI 1.28-1.67). When labor/delivery morbidities were further adjusted for, risk for cesarean section became insignificant, while the risk for tocolysis and preterm birth remained. Conclusion: Nurses are at higher risk for tocolysis, cesarean section, and preterm birth than non-nurses. Occupational exposures related to those adverse pregnancy outcomes should be examined. Strategies to decrease the risk should be developed in order to improve reproductive health among nurses.
Keywords:
occupational health; nurse; pregnancy outcomes
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDo Nurses Have Worse Pregnancy Outcomes?en_GB
dc.contributor.authorYang, Hui-Juen_GB
dc.contributor.authorChang, Kuang-Yien_GB
dc.contributor.authorChien, Li-Yinen_GB
dc.contributor.authorChou, Yiing-Jenqen_GB
dc.contributor.authorKao, Feng-yuen_GB
dc.contributor.departmentLambda Beta-at-Largeen_GB
dc.author.detailsHui-Ju Yang, MS, RN, hjyang@vghtpe.gov.tw; Kuang-Yi Chang, PhD; Li-Yin Chien, ScD; Yiing-Jenq Chou, PhD; Feng-yu Kaoen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335539-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: Nurses encounter multiple occupational exposures in their daily work which may harm their reproductive health. The purpose of the study was to compare pregnancy complications and outcomes including cesarean deliveries, tocolysis, abortion, and preterm births between female nurses and non-nurse comparative women in Taiwan. Methods: This nationwide population-based study was performed using the National Health Insurance Research Database from 1997 to 2008. We identified 3,656 pregnancies among 2,326 nurses and 111,889 pregnancies among 74,919 non-nurses. Generalized estimating equation was used to compare risks between the two groups. Results: The rate of tocolysis (28.61% vs. 22.30%), abortion (6.21% vs. 5.37%), and preterm birth (8.07% vs. 5.66%) were significantly higher among nurses than non-nurses. After adjustment for background differences, nurses had significantly higher risk for cesarean section (adjusted OR=1.12, 95% confidence interval [CI] 1.03-1.22), tocolysis (OR=1.18, 95% CI 1.09-1.29), and preterm birth (OR=1.46, 95% CI 1.28-1.67). When labor/delivery morbidities were further adjusted for, risk for cesarean section became insignificant, while the risk for tocolysis and preterm birth remained. Conclusion: Nurses are at higher risk for tocolysis, cesarean section, and preterm birth than non-nurses. Occupational exposures related to those adverse pregnancy outcomes should be examined. Strategies to decrease the risk should be developed in order to improve reproductive health among nurses.en_GB
dc.subjectoccupational healthen_GB
dc.subjectnurseen_GB
dc.subjectpregnancy outcomesen_GB
dc.date.available2014-11-17T13:54:34Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:54:34Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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