Adverse perinatal outcomes among practical nurses: The Finnish Medical Birth Register Study

Emma Kwegyir-Afful, Emma Kwegyir-Afful and Reeta Lamminpää, Reeta Lamminpää and Kimmo Räsänen, Kimmo Räsänen and Katri Vehviläinen-Julkunen, Katri Vehviläinen-Julkunen and Tuomas Selander, Tuomas Selander (2021) Adverse perinatal outcomes among practical nurses: The Finnish Medical Birth Register Study. European Journal of Midwifery, 5 (4). pp. 1-6. ISSN 2585-2906

Text pdf-137355-66104.pdf - Other Download (160kB)

Abstract

INTRODUCTION Work as a practical nurse (nurse assistant) may have an effect on pregnancy outcomes. Exposure to chemical, physical and biological hazards are common among hospital personnel. Stressful work conditions such as shift work, prolonged standing and long working hours have been reported among practical nurses. The aim of this study was to examine whether working as a practical nurse is associated with adverse perinatal outcomes. METHODS Data were obtained from the Finnish Medical Birth Register of 1997–2014. We included 58512 singleton newborns of practical nurses as cases, and 8765 and 39485 newborns of secretaries and housewives, respectively, as controls. Outcomes included preterm birth (<37 weeks), low birthweight (<2500 g), perinatal death (stillbirth or neonatal death within the first seven days), SGA (<2.5th percentile), and breech presentation, among others. Logistic regression analysis was performed and adjusted for confounders such as maternal age, parity, smoking, and diabetes. RESULTS Being a practical nurse had lower likelihood of low birthweight (OR=0.88; 95% CI: 0.81–0.96), perinatal death (OR=0.77; 95% CI: 0.62–0.96), SGA (OR=0.79; 95% CI: 0.72–0.86) and episiotomy (OR=0.90; 95% CI: 0.86–0.94). Practical nursing was significantly related to higher odds of instrumental delivery (OR=1.08; 95% CI: 1.00–1.17), but not with preterm birth, breech presentation, shoulder presentation, or caesarean section.
CONCLUSIONS After adjusting for confounding variables, working as a practical nurse was associated with higher likelihood of instrumental delivery, particularly vacuum delivery. The risk for shoulder presentation was nearly two-fold compared to controls. Further studies to determine when mothers started their maternity leave and the consequent effect on pregnancy outcome is highly recommended.

Item Type:	Article
Uncontrolled Keywords:	pregnancy, occupational health, birth outcome, practical nurse, nurse assistant
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	04 Jul 2022 00:44
Last Modified:	04 Jul 2022 00:44
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1233

Actions (login required)

View Item