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Long working hours and pregnancy complications: women physicians survey in Japan

BACKGROUND: Previous studies have investigated the impact of occupational risk factors on health outcomes among physicians. However, few studies have investigated the effects on pregnancy outcomes among physicians. In this study, we examined the association between working hours during pregnancy and...

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Autores principales: Takeuchi, Masumi, Rahman, Mahbubur, Ishiguro, Aya, Nomura, Kyoko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4121483/
https://www.ncbi.nlm.nih.gov/pubmed/25060410
http://dx.doi.org/10.1186/1471-2393-14-245
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author Takeuchi, Masumi
Rahman, Mahbubur
Ishiguro, Aya
Nomura, Kyoko
author_facet Takeuchi, Masumi
Rahman, Mahbubur
Ishiguro, Aya
Nomura, Kyoko
author_sort Takeuchi, Masumi
collection PubMed
description BACKGROUND: Previous studies have investigated the impact of occupational risk factors on health outcomes among physicians. However, few studies have investigated the effects on pregnancy outcomes among physicians. In this study, we examined the association between working hours during pregnancy and pregnancy complications among physicians. METHODS: A cross-sectional study was based on a survey conducted in 2009-2011 of 1,684 alumnae (mean age, 44 ± 8 years) who had graduated from 13 private medical schools in Japan. Data on threatened abortion (TA), preterm birth (PTB), and the number of working hours during the first trimester of pregnancy were obtained via retrospective assessments. RESULTS: Of the 939 physicians with a first pregnancy, 15% experienced TA and 12% experienced PTB. Women who experienced TA (mean weekly working hours: 62 h vs. 50 h, P < .0001) or PTB (62 h vs. 50 h, P < .0001) had longer weekly working hours during the first trimester than did those without pregnancy complications. Compared with women who worked 40 hours or less per week, women who worked 71 hours or more per week had a three-fold higher risk of experiencing TA (95% confidence interval (CI): 1.7-6.0) even after adjusting for medical specialty, maternal age, and current household income. The risk of experiencing PTB was 2.5 times higher (95% CI:1.2-5.2) in women who worked 51-70 hours and 4.2 times higher (95% CI: 1.9-9.2) in women who worked 71 hours or more even after adjusting for specialty, maternal age, and current household income. The trend in the P statistic reflecting the effect of the quartile of hours worked per week (40 hours, 41-50 hours, 51-70 hours, ≥71 hours) on TA or PTB was 0.0001 in the multivariate logistic regression models. CONCLUSION: These results suggest that working long hours during the first trimester of pregnancy is associated with TA and PTB. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/1471-2393-14-245) contains supplementary material, which is available to authorized users.
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spelling pubmed-41214832014-08-06 Long working hours and pregnancy complications: women physicians survey in Japan Takeuchi, Masumi Rahman, Mahbubur Ishiguro, Aya Nomura, Kyoko BMC Pregnancy Childbirth Research Article BACKGROUND: Previous studies have investigated the impact of occupational risk factors on health outcomes among physicians. However, few studies have investigated the effects on pregnancy outcomes among physicians. In this study, we examined the association between working hours during pregnancy and pregnancy complications among physicians. METHODS: A cross-sectional study was based on a survey conducted in 2009-2011 of 1,684 alumnae (mean age, 44 ± 8 years) who had graduated from 13 private medical schools in Japan. Data on threatened abortion (TA), preterm birth (PTB), and the number of working hours during the first trimester of pregnancy were obtained via retrospective assessments. RESULTS: Of the 939 physicians with a first pregnancy, 15% experienced TA and 12% experienced PTB. Women who experienced TA (mean weekly working hours: 62 h vs. 50 h, P < .0001) or PTB (62 h vs. 50 h, P < .0001) had longer weekly working hours during the first trimester than did those without pregnancy complications. Compared with women who worked 40 hours or less per week, women who worked 71 hours or more per week had a three-fold higher risk of experiencing TA (95% confidence interval (CI): 1.7-6.0) even after adjusting for medical specialty, maternal age, and current household income. The risk of experiencing PTB was 2.5 times higher (95% CI:1.2-5.2) in women who worked 51-70 hours and 4.2 times higher (95% CI: 1.9-9.2) in women who worked 71 hours or more even after adjusting for specialty, maternal age, and current household income. The trend in the P statistic reflecting the effect of the quartile of hours worked per week (40 hours, 41-50 hours, 51-70 hours, ≥71 hours) on TA or PTB was 0.0001 in the multivariate logistic regression models. CONCLUSION: These results suggest that working long hours during the first trimester of pregnancy is associated with TA and PTB. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/1471-2393-14-245) contains supplementary material, which is available to authorized users. BioMed Central 2014-07-23 /pmc/articles/PMC4121483/ /pubmed/25060410 http://dx.doi.org/10.1186/1471-2393-14-245 Text en © Takeuchi et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Takeuchi, Masumi
Rahman, Mahbubur
Ishiguro, Aya
Nomura, Kyoko
Long working hours and pregnancy complications: women physicians survey in Japan
title Long working hours and pregnancy complications: women physicians survey in Japan
title_full Long working hours and pregnancy complications: women physicians survey in Japan
title_fullStr Long working hours and pregnancy complications: women physicians survey in Japan
title_full_unstemmed Long working hours and pregnancy complications: women physicians survey in Japan
title_short Long working hours and pregnancy complications: women physicians survey in Japan
title_sort long working hours and pregnancy complications: women physicians survey in japan
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4121483/
https://www.ncbi.nlm.nih.gov/pubmed/25060410
http://dx.doi.org/10.1186/1471-2393-14-245
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