The Impact of Shift Work during Pregnancy on Maternal and Fetal Health Outcomes
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Date
2021
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Journal Title
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pārskats: Darba maiņas un ilgs darba laiks mūsdienu sabiedrībā ir ļoti izplatīts. Ir pat sagaidāms, ka grūtniecēm šajās maiņās būs jāstrādā. Lai gan arvien vairāk pētījumu liecina, ka darbs maiņās un ilgs darba laiks grūtniecības laikā var būt saistīts ar sliktiem grūtniecības iznākumiem, rezultāti joprojām ir pretrunīgi un neskaidri.
Mērķis: Šā pētnieciskā darba mērķis ir izpētīt maiņu darba un ilgāka darba laika iespējamo ietekmi uz mātes un augļa veselības rezultātiem grūtniecības laikā.
Materiāls un metodes: Šajā literatūras pētījumā tiks pārskatīti un analizēti dažādi zinātniskie raksti, grāmatas un izdotā literatūra. Kā datu bāze tika izmantoti Google zinātnieki, PubMed un dažādi raksti.
Rezultāti: Pētījumi liecina, ka darbs maiņās un garas darba stundas ietekmē mātes un augļa veselības rezultātus. Lielākā daļa no novērotajiem pētījumiem ir atzinuši, ka pastāv saistība starp ilgu darba laiku, maiņu darbiem un priekšlaicīgu piegādi, zemu dzimšanas svaru un augļa abortu, salīdzinot ar tiem, kas strādāja fiksētas dienas maiņas vai standarta darba laiku. Saskaņā ar konstatējumiem sievietēm, kuras strādā vairāk nekā 55,5 stundas nedēļā, salīdzinot ar 40 stundām vai mazāk, ir par 10% lielāka priekšlaicīgu dzemdību sastopamība. Darba fiksēta nakts maiņa, salīdzinot ar fiksētu dienas maiņu, ir saistīta ar 21% palielinātu priekšlaicīgas piegādes biežumu un 23% aborts. Lai gan fiksētas dienas pārejai uz rotējošām maiņām ir 13% iespēja PTS, 18% zema dzimšanas svara gadījumā, 75% preeklampsijā un 19% GH. Salīdzinot parasto darba laiku ar ilgāku darba laiku, par 21% palielinājās PTS risks, par 38% palielinājās spontānā aborta risks, 43% risks saslimt ar mazu dzimšanas svaru. GDM galvenokārt izraisa traucēts diennakts ritms.
Secinājums: Darba maiņas grafiki, noteikt nakts maiņas, vai garāks darba laiks grūtniecības laikā ir saistība ar paaugstinātu risku nelabvēlīgu mātes un augļa veselības rezultātus.
Overview: Working shifts and long working hours are very common in today’s society. It is even expected that pregnant women have to work during these shifts. Although a growing number of research suggest that shift work and lengthy working hours during pregnancy may be correlated to poor pregnancy outcomes, the results are still conflicting and unclear. Aim: The aim of this research paper is to investigate the possible impacts of shift work and longer working hours during pregnancy on maternal and fetal health outcomes. Material and methods: This literature study will review and analyse different scientific articles, books and published literature. Google scholar, PubMed and different articles were used as a database. Results: Studies have shown that shift work and long working hours have an impact on maternal and fetal health outcomes. Majority of the observed studies have acknowledged that there are an associations between long working hours, shifts works and preterm delivery, low birth weight and fetal miscarriage compared to those who worked fixed day shifts or standard working hours. According to the findings, women who work more than 55.5 hours a week compared to 40 hours or less have a 10% higher incidence of having a preterm birth. Working fixed night shift compared to fixed day shift have an association with 21% increased incidence of having preterm delivery and 23% in miscarriage. While fixed day shifts to rotating shifts have a 13% chance of PTD, 18% in case of low birth weight, 75% in preeclampsia and 19% in GH. When comparing regular working hours with longer working hours there was 21% increase in the risk of PTD, 38% increase in the risk of miscarriage, 43% in risk of having low birth weight baby. GDM is mainly induced due to disturbed circadian rhythm. Conclusion: Working shifting schedules, set night shifts, or longer working hours during pregnancy has an association with increased risk of adverse maternal and fetal health outcomes.
Overview: Working shifts and long working hours are very common in today’s society. It is even expected that pregnant women have to work during these shifts. Although a growing number of research suggest that shift work and lengthy working hours during pregnancy may be correlated to poor pregnancy outcomes, the results are still conflicting and unclear. Aim: The aim of this research paper is to investigate the possible impacts of shift work and longer working hours during pregnancy on maternal and fetal health outcomes. Material and methods: This literature study will review and analyse different scientific articles, books and published literature. Google scholar, PubMed and different articles were used as a database. Results: Studies have shown that shift work and long working hours have an impact on maternal and fetal health outcomes. Majority of the observed studies have acknowledged that there are an associations between long working hours, shifts works and preterm delivery, low birth weight and fetal miscarriage compared to those who worked fixed day shifts or standard working hours. According to the findings, women who work more than 55.5 hours a week compared to 40 hours or less have a 10% higher incidence of having a preterm birth. Working fixed night shift compared to fixed day shift have an association with 21% increased incidence of having preterm delivery and 23% in miscarriage. While fixed day shifts to rotating shifts have a 13% chance of PTD, 18% in case of low birth weight, 75% in preeclampsia and 19% in GH. When comparing regular working hours with longer working hours there was 21% increase in the risk of PTD, 38% increase in the risk of miscarriage, 43% in risk of having low birth weight baby. GDM is mainly induced due to disturbed circadian rhythm. Conclusion: Working shifting schedules, set night shifts, or longer working hours during pregnancy has an association with increased risk of adverse maternal and fetal health outcomes.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Maiņu darbs; Darba laiks; Strādājošas sievietes; Grūtniecības iznākumi; Grūtniecības komplikācijas; Diennakts ritms; Melatonīns; Normāla fizioloģija grūtniecības laikā; Augļa komplikācijas; Priekšlaicīga piegāde; Preeklampsija; Gestācijas diabēts, mazs dzimšanas svars., Shift work; Working hours; Working women; Pregnancy outcomes; Pregnancy complications; Circadian rhythm; Melatonin; Normal physiology during pregnancy; Fetal complications; Preterm delivery; Pre-eclampsia; Gestational diabetes, low birth weight.