Work as a physician and adverse pregnancy outcomes: a Finnish nationwide population-based registry study
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Work as a physician may be related to several occupational hazards. Only few studies have investigated the relations between work as a physician and the risk of adverse pregnancy outcomes and the results have been inconsistent. We conducted a nationwide population-based study in Finland to assess whether work as a physician during pregnancy increases the risk of adverse pregnancy outcomes. We identified from the 1990 to 2006 Finnish Medical Birth Register data all singleton newborns of physicians (N = 7,642) and other upper white collar workers (N = 124,606; as the reference group) from a source population of 946,392 singleton newborns. In generalized estimating equations, work as a physician was not related to low birth weight (adjusted odds ratio (OR) 1.00, 95% confidence interval (CI 0.86–1.15), preterm delivery (1.00, 0.89–1.12), small-for-gestational age (1.04, 0.86–1.22), large-for-gestational age (1.00, 0.86–1.13), perinatal death (0.88, 0.49–1.27), and the female gender of the newborn (0.98, 0.94–1.03). The risk of high birth weight (4,000 g or more; 0.88, 0.84–0.93) and postterm delivery were lower (0.77, 0.65–0.89) among physicians than the reference group. The results indicate that Finnish female physicians have a similar risk of adverse pregnancy outcomes as women of similar socio-economic background.
- Finch SJ. Pregnancy during residency: a literature review. Acad Med. 2003;78:418–28. CrossRef
- Katz VL, Miller NH, Bowes WA. Pregnancy complications of physicians. West J Med. 1988;149:704–7.
- Butterfield PS. The stress of residency: a review of the literature. Arch Intern Med. 1988;148:1428–35. CrossRef
- Pharoah POD, Alberman E, Doyle P. Outcome of pregnancy among women in anaesthetic practice. Lancet. 1977;1:34–6. CrossRef
- Grunebaum A, Minkoff H, Blake D. Pregnancy among obstetricians: a comparison of births before, during, and after residency. Am J Obstet Gynecol. 1987;157:79–83.
- Pinhas-Hamiel O, Rotstein Z, Achiron A, Gabbay U, Achiron R, Barak Y, et al. Pregnancy during residency–an Israeli survey of women physicians. Health Care Women Int. 1999;20:63–70. CrossRef
- Osborn LM, Harris DL, Reading JC, Prather MB. Outcome of pregnancies experienced during residency. J Fam Pract. 1990;31:618–22.
- Miller NH, Katz VL, Cefalo RC. Pregnancies among physicians: a historical cohort study. J Reprod Med. 1989;34:790–6.
- Schwartz RW. Pregnancy in physicians: characteristics and complications. Obstetrics & Gynaecology. 1985;66:672–6.
- Phelan ST. Pregnancy during residency: II. Obstetric complications. Obstet Gynecol. 1988;72:431–6.
- Klevan JL, Weiss JC, Dabrow SM. Pregnancy during pediatric residency: attitudes and complications. AMA J Dis Child. 1990;144:767–9.
- Gabbe SG, Morgan MA, Power ML, Schulkin J, Williams SB. Duty hours and pregnancy outcome among residents in obstetrics and gynecology. Obstet Gynecol. 2003;102:948–51. CrossRef
- Klebanoff MA, Shiono PH, Rhoads GG. Outcomes of pregnancy in a national sample of resident physicians. N Engl J Med. 1990;323:1040–5. CrossRef
- Heinonen S, Saarikoski S. Reproductive risk factors, pregnancy characteristics and obstetric outcome in female doctors. Br J Obstet Gynaecol. 2002;109:261–4.
- Gissler M, Shelley J. Quality of data on subsequent events in a routine medical birth register. Med Inform Internet Med. 2002;27:33–8. CrossRef
- Gissler M, Haukka J. Finnish health and social welfare registers in epidemiological research. Norsk Epidemiol. 2004; 14:113–20. (http://www.ub.ntnu.no/journals/norepid/2004-1.html).
- Hemminki E, Teperi J, Tuominen K. Need for and influence of feedback from the Finnish birth register to data providers. Qual Assur Health Care. 1992;4:133–9.
- Pihkala J, Hakala T, Voutilainen P et al. Characteristics of recent fetal growth curves in Finland [in Finnish] Duodecim 1989; 105:1540–6 [Pubmed].
- Jaakkola N. Passive smoking during pregnancy and early childhood: occurrence, determinants, health effects and prevention [Dissertation]. Faculty of Medicine, Department of Public Health, Helsinki:University of Helsinki, 33 pp. http://ethesis.helsinki.fi/julkaisut/laa/kansa/vk/jaakkola/passives.pdf.
- Marbury MC, Linn S, Monson RR, Wegman DH, Schoenbaum SC, Stubblefield PG. Work and pregnancy. J Occup Med. 1984;26:415–21. CrossRef
- Murphy JF, Dauncey M, Newcombe R, Garcia J, Elbourne D. Employment in pregnancy: prevalence, maternal characteristics, perinatal outcome. Lancet. 1984;1:1163–6. CrossRef
- Work as a physician and adverse pregnancy outcomes: a Finnish nationwide population-based registry study
European Journal of Epidemiology
Volume 24, Issue 9 , pp 531-536
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Adverse pregnancy outcomes
- Low birth weight
- Small-for-gestational age
- Industry Sectors
- Author Affiliations
- 1. Institute of Occupational and Environmental Medicine, University of Birmingham, Birmingham, UK
- 2. THL National Institute for Health and Welfare, Helsinki, Finland
- 3. Nordic School of Public Health, Gothenburg, Sweden
- 4. Institute of Health Sciences, University of Oulu, P.O. Box 5000, 90014, Oulu, Finland