Advertisement

Canadian Journal of Public Health

, Volume 93, Issue 1, pp 72–77 | Cite as

Effet bénéfique d’un arrêt du travail avant l’accouchement

  • Qian Xu
  • Louise Séguin
  • Lise Goulet
Article

Résumé

Objectif

identifier la contribution de la durée du congé de maternité avant l’accouche-ment au déroulement normal de l’accouchement à terme.

Méthode

les caractéristiques concernant le congé de maternité prénatal et le déroule-ment de l’accouchement ont été étudiées chez 363 travailleuses, ayant accouché d’un enfant à terme dans 4 hôpitaux montréalais en 1996.

Résultats

la présence d’une intervention ou d’une complication au cours de l’accouche-ment est observée chez 68,9 % des sujets. La durée moyenne de l’arrêt de travail avant l’accouchement est de 8 semaines (SD=7). La probabilité ajustée d’un accouchement difficile diminue significativement avec la durée de l’arrêt du travail (RC = 0,96; IC à 95 % = 0,93 - 0,99).

Conclusion

le fait d’avoir une période d’arrêt du travail rémunéré avant l’accouchement peut avoir un effet positif sur le déroulement facile de l’accouchement à terme.

Abstract

Objective

To identify the contribution of the duration of the prenatal maternity leave on term delivery.

Method

Characteristics of the prenatal maternity leave and delivery among 363 working women who had delivered a full-term infant at 1 of 4 hospitals in Montreal during 1996 were studied.

Results

The presence of an intervention or complication during delivery was observed in 68.9% of the participants. The average duration of the prenatal maternity leave was about 8 weeks (SD = 7). The adjusted risk of a difficult delivery decreased significantly with the duration of the prenatal maternity leave (OR = 0.96; 95% CI: 0.93 - 0.99).

Conclusion

The duration of the maternity leave before delivery is associated with an easier term delivery for working women.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. 1.
    Guyon L, Robitaille C, Clarkson M, Lavallée C. La vie reproductive. Dans: Ministère de la santé et des services sociaux de Gouvernement du Québec, Derrière les apparences: santé et conditions de vie des femmes. Ministère de la santé et des services sociaux de Gouvernement du Québec, Québec, 1996;127.Google Scholar
  2. 2.
    Teitelman AM, Welch LS, Hellenbrand KG, Bracken MB. Effect of maternal work activity on preterm birth and low birth weight. Am J Epidemiol 1990;131(1).104–13.CrossRefGoogle Scholar
  3. 3.
    Launer LJ, Villar J, Kestler E, de Onis M. The effect of maternal work on fetal growth and duration of pregnancy: A prospective study. Br J Obstet Gynaecol 1990;97(1).62–70.CrossRefGoogle Scholar
  4. 4.
    Koemeester AP, Broersen JP, Treffers PE. Physical work load and gestational age at delivery. Occupation Environment Med 1995;52(5).313–15.CrossRefGoogle Scholar
  5. 5.
    Luke B, Mamelle N, Keith L, Munoz F, Minogue J, Papiernik E, et al. The association between occupational factors and preterm birth: A United States nurses’ study. Am J Obstet Gynecol 1995;173(3 Pt 1):849–62.CrossRefGoogle Scholar
  6. 6.
    McDonald AD, McDonald JC, Armstrong B, Cherry NM, Nolin AD, Robert D. Prematurity and work in pregnancy. Br J Industrial Med 1988;45(1).56–62.Google Scholar
  7. 7.
    Saurel-Cubizolles MJ, Hays M, Estryn-Behar M. Work in operating rooms and pregnancy outcome among nurses. Int Archives Occupation Environment Health 1994:66(4):235–41.CrossRefGoogle Scholar
  8. 8.
    Boyce WT, Schaefer C, Harrison HR, Haffner WH, Lewis M, Wright AL. Social and cultural factors in pregnancy complications among Navajo women. Am J Epidemiol 1986;124(2).242–53.CrossRefGoogle Scholar
  9. 9.
    Rosenberg SN, Albertsen PC, Jones EE, Roberts RS. Complications of labor and delivery following uncomplicated pregnancy. Medical Care 1981;19(1).68–79.CrossRefGoogle Scholar
  10. 10.
    Hobel CJ, Hyvarinen MA, Okada DM, Oh W. Prenatal and intrapartum high-risk screening. I. Prediction of the high-risk neonate. Am J Obstet Gynecol 1973;17(1).1–9.CrossRefGoogle Scholar
  11. 11.
    Sills ES, Baum JD, Ling X, Harper MM, Levy DP, Lockwood CJ. Average length of spontaneous labor in Chinese primigravidas. J Gynécologie, Obstétrique et Biologie de la Reproduction 1997;26(7).704–10.Google Scholar
  12. 12.
    Zahniser SC, Kendrick JS, Franks AL, Saftlas AF. Trends in obstetric operative procedures, 1980 to 1987. Am J Public Health 1992;82(10).1340–44.CrossRefGoogle Scholar
  13. 13.
    Peipert JF, Bracken MB. Maternal age: An independent risk factor for cesarean delivery. Obstet Gynecol 1993;81(2).200–5.PubMedGoogle Scholar
  14. 14.
    Johnson NP, Lewis J, Ansell DA. Does ethnicity influence obstetric intervention? New Zealand Med J 1995;108(1013).511–12.PubMedGoogle Scholar
  15. 15.
    Da Costa D, Brender W, Larouche J. A prospective study of the impact of psychosocial and lifestyle variables on pregnancy complications. J Psychosomatic Obstet Gynecol 1998;19(1).28–37.CrossRefGoogle Scholar
  16. 16.
    Lobel M. Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes. J Behav Med 1994;17(3).225–72.CrossRefGoogle Scholar
  17. 17.
    Sorensen G, Verbrugge LM. Women, work and health. Annu Rev Public Health 1987;8:.235–51.CrossRefGoogle Scholar
  18. 18.
    Stein ZA, Susser MW, Hatch MC. Working during pregnancy: Physical and psychosocial strain. Occupation Med 1986;1(3).405–9.Google Scholar
  19. 19.
    Dumont M. La délivrance pathologique et dysto-cie des parties molles. Dans: Dumont M (Ed.), Obstétrique. Paris: Vigot Frère, 1972;234–317.Google Scholar
  20. 20.
    Gould JB, Davey B, Stafford RS. Socioeconomic differences in rates of cesarean section. N Engl J Med 1989;321(4).233–39.CrossRefGoogle Scholar
  21. 21.
    Ezra Y, McParland P, Farine D. High delivery intervention rates in nulliparous women over age 35. European J Obstet Gynecol Reproductive Biology 1995;62(2).203–7.CrossRefGoogle Scholar
  22. 22.
    Baum A, Schaeffer MA Lake CR. Psychological and endocrinological correlates of chronic stress at Three Mile Island. Dans: Williams RB, Perspectives on Behavioral Medicine. New York: New York Academic Press, 1985;201–17.CrossRefGoogle Scholar
  23. 23.
    Saurel-Cubizolles MJ. Kaminski M. Du Mazaubrun C. Llado J. Estryn-Behar M. High blood pressure during pregnancy and working conditions among hospital personnel. Eur J Obstet Gynecol Reprod Biol 1991;40(1).29–34.CrossRefGoogle Scholar
  24. 24.
    Katz VL, Jenkins T, Haley L, Bowes WA Jr. Catecholamine levels in pregnant physicians and nurses: A pilot study of stress and pregnancy. Obstet Gynecol 1991;77(3).338–42.PubMedGoogle Scholar
  25. 25.
    al-Najashi S, al-Suleiman SA, el-Yahia A, Rahman MS, Rahman J. Shoulder dystocia — A clinical study of 56 cases. Aust N Z J Obstet Gynaecol 1989;29(2).129–32.CrossRefGoogle Scholar
  26. 26.
    Saurel-Cubizolles MJ, Hays M, Estryn-Behar M. Work in operating rooms and pregnancy outcome among nurses. Int Arch Occup Environ Health 1994;66(4).235–41.CrossRefGoogle Scholar
  27. 27.
    McDonald AD, McDonald JC, Armstrong B, Cherry N, Delorme C, D-Nolin A, et al. Occupation and pregnancy outcome. Br J Indust Med 1987;44(8).521–26.Google Scholar
  28. 28.
    Johnson N, Ansell D. Variation in caesarean and instrumental delivery rates in New Zealand hospitals. Aust N Z J Obstet Gynaecol 1995;35(1).6–11.CrossRefGoogle Scholar
  29. 29.
    Goyert GL, Bottoms SF, Treadwell MC, Nehra PC. The physician factor in cesarean birth rates. N Engl J Med 1989;320(11).706–9.CrossRefGoogle Scholar
  30. 30.
    Naylor CD, Sermer M, Chen E, Sykora K. Cesarean delivery in relation to birth weight and gestational glucose tolerance: Pathophysiology or practice style? Toronto Trihospital Gestational Diabetes Investigators. JAMA 1996;275(15).1165–70.CrossRefGoogle Scholar
  31. 31.
    Turner MJ, Rasmussen MJ, Turner JE, Boylan PC, MacDonald D, Stronge JM. The influence of birth weight on labor in nulliparas. Obstet Gynecol 1990;76(2).159–63.PubMedGoogle Scholar
  32. 32.
    Marbury MC, Linn S, Monson RR, Wegman DH, Schoenbaum SC, Stubblefield PG, et al. Work and pregnancy. J Occup Med 1984;26(6).415–21.CrossRefGoogle Scholar
  33. 33.
    Collection Zoon. Maladie, Maternité. Paris: Editions Tissot, 1998;68.Google Scholar
  34. 34.
    Institut de recherche en santé et en sécurité du travail du Québec (IRSST). Pour une maternité sans danger. Rapport du groupe de travail pour une maternité sans danger. Montréal, 1993.Google Scholar
  35. 35.
    Développement des ressources humaines Canada. Prestations de maternité, parentales et de ma-ladie, dans: Gouvernement du Canada, Assurance-Emploi. Ottawa, 1998.Google Scholar
  36. 36.
    Statistique Canada. Portrait statistique des femmes au Canada. Dans: Gouvernement du Canada: Les femmes au Canada — 3e édition. Ottawa, 1995;67.Google Scholar
  37. 37.
    Chamberlain GV. Work in pregnancy. Am J Indust Med 1993;23(4).559–75.CrossRefGoogle Scholar
  38. 38.
    Briend A. Maternal physical activity, birth weight and perinatal mortality. Medical Hypotheses 1980;6(11).1157–70.CrossRefGoogle Scholar
  39. 39.
    Alegre A, Rodriguez-Escudero FJ, Cruz E, Prada M. Influence of work during pregnancy on fetal weight. J Reprod Med 1984;29(5).334–36.PubMedGoogle Scholar
  40. 40.
    Ceron-Mireles P, Constanze I. The risk of prematurity and small-for-gestational-age birth in Mexico City: The effects of working conditions and antenatal leave. Am J Public Health 1996;86:.825–31.CrossRefGoogle Scholar
  41. 41.
    Sapinski JP. Accouchements et naissances dans la région de Montéal - 1994. Dans: Rapport de recherche. Montréal: Université de Montréal, 1996.Google Scholar
  42. 42.
    Corporation professionnelle des médecins du Québec. Profil de l’utilisation des interventions obstétricales au Québec. Bulletin 1990;XXX(4): 9–13.Google Scholar
  43. 43.
    Towler J. Physiological labour and natural birth. Dans: Marsh GN, Modern Obstetrics in General Practice. New York: Oxford University Press, 1985;270–86.Google Scholar

Copyright information

© The Canadian Public Health Association 2002

Authors and Affiliations

  • Qian Xu
    • 1
    • 2
  • Louise Séguin
    • 1
  • Lise Goulet
    • 1
  1. 1.Département de médecine sociale et préventive et Groupe de Recherche Interdisciplinaire en Santé, Faculté de MédecineUniversité de MontréalCanada
  2. 2.GRIS Université de Montréal, C.P. 6128, succ. Centre-villeMontréalCanada

Personalised recommendations