Impact of Work-Related Stressors on Pregnancy Outcomes of Cardiologists and Cardiovascular Team Members: It Is Complicated
Authors' conclusion
This study found associations between self-reported work-related stressors and pregnancy complications in physicians and CVT members. Hospitals are encouraged to improve work conditions for pregnant physicians and CVT members with the goal of improving provider, employee, and fetal outcomes.
Study context
- Population
- Women physicians and cardiovascular team (CVT) members of the American College of Cardiologypregnancies in 273 physicians and 211 CVT members, survey emailed to 6,786 · physicians 273 · CVT members 211
- Participants
- 921 pregnancies
- Exposure
- Associations between pregnancy/fetal complications (composite any maternal or fetal) and potential risk factors
- Outcome
- At least one pregnancy or fetal complication
Methodological detailsMultiple logistic regressions
- Multiple logistic regressions
Main finding
As reported in the abstract
Respondents reporting at least one pregnancy or fetal complication
39% of respondents
n = 188
Observational data: associations, not effects.
Further findings
Factors associated with complications (n = 401)
| Adjusted OR (95% CI) | ||
|---|---|---|
| Unpartnered during pregnancy | 3.439 (1.048–11.283) | |
| Fertility treatments | 1.552 (1.037–2.323) | |
| Additional duties during pregnancy | 1.402 (1.015–1.936) | |
| Inflexible work schedules | 1.495 (1.084–2.062) | |
| 0.050.21520Adjusted odds ratio (log scale) |
Bed rest, fetal complications, breast feeding
- Bed rest, fetal complications, and less breast feeding were more likely to occur in complicated pregnancies
Fetal complications among complicated pregnancies
- Fetal complications occurred in close to 40% of complicated pregnancies, most commonly preterm birth, low birth weight, and small-for-gestational-age
- close to 40%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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