American Journal of Epidemiology Vol. 119, No. 3: 309-322
Copyright © 1984 by The Johns Hopkins University School of Hygiene and Public Health
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PREMATURITY AND OCCUPATIONAL ACTIVITY DURING PREGNANCY
From the Unit6 de Recherches Epidfimiologiques et Statistiques sur l'Environnement et la Sante, INSERM U.170 43, boulevard du 11 Novembre 1918, 69622 Villeurbanne Cedex, France.
Mameile, N. (INSERM U.170, 69622 Villeurbanne Cedex, France), B. Laumon and P. Lazar. Prematurity and occupational activity during pregnancy. Am J Epidemiol 1984; 119: 309–22.
The aim of this study was to determine the elements of fatigue in occupations which constitute possible risk factors for the course of a pregnancy, and, in particular, that could cause premature birth. In 1977–1978, a total of 3437 women in France were surveyed after giving birth in two maternity hospitals. One hospital was located in Lyon (a large city) and the other in Haguenau (a small town). Among 1928 working women, it was found that certain occupational categories are more prone to risk of prematurity than others. The authors carried out an analytical breakdown of the job into its diverse components which led them to define five sources of fatigue and to construct an index capable of detecting the strenuous working conditions. There is a significant relationship between the prematurity rate and the number of high fatigue scores observed in the job. When the number of scores varies from 0 to 5 the rate of premature births increases from 2.3% to 11.1%. This relationship remains significant after controlling for confounding factors.
epidemiologic methods; gestational age; infant, premature; maternal work; occupations; preventive medicine; public health
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