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Research ArticleOriginal Article

The Influence Of Work On The Outcome Of Low-Risk Pregnancies

Mindy Ann Smith, Kelley A. Brix and Caryl J. Heaton
The Journal of the American Board of Family Practice July 1988, 1 (3) 167-174; DOI: https://doi.org/10.3122/jabfm.1.3.167
Mindy Ann Smith
From the Department of Family Practice and the Department of Environmental and Industrial Health, University of Michigan School of Medicine, Ann Arbor. Address reprint requests to Mindy Ann Smith, M.D., Department of Family Practice, University of Michigan, 1018 Fuller, Ann Arbor, MI 48109.
M.D.
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Kelley A. Brix
From the Department of Family Practice and the Department of Environmental and Industrial Health, University of Michigan School of Medicine, Ann Arbor. Address reprint requests to Mindy Ann Smith, M.D., Department of Family Practice, University of Michigan, 1018 Fuller, Ann Arbor, MI 48109.
M.D.
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Caryl J. Heaton
From the Department of Family Practice and the Department of Environmental and Industrial Health, University of Michigan School of Medicine, Ann Arbor. Address reprint requests to Mindy Ann Smith, M.D., Department of Family Practice, University of Michigan, 1018 Fuller, Ann Arbor, MI 48109.
D.O.
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Abstract

In this study, the relation of white-collar work on the outcomes of low-risk pregnancies was investigated. The medical records of 300 primiparous women whose pregnancy outcomes were known were selected sequentially from prenatal care log books over a 6-month period in three private, group obstetric practices in a university community. The majority of these women worked outside the home and included 220 white-collar workers (73 percent) and 28 blue-collar workers (9 percent). Thirty-four women (11 percent) were homemakers. Within this sample, 197 women (66 percent) met the selection criteria for low-risk pregnancies based on known sociodemographic, medical, and health risk factors. Although the sample numbers were small, comparison of low-risk white-collar workers (n = 141) with low-risk homemakers (n = 24) showed significant differences for rates of Cesarean section for failure to progress (16 percent versus 0 percent, P < 0.05) and a summary index of poor delivery and/or infant outcome (21 percent versus 4 percent, P < 0.05). No other adverse outcomes were significantly associated with occupation. This study suggests that increased pregnancy risks may be associated with white-collar work in otherwise low-risk women.

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The Journal of the American Board of Family     Practice: 1 (3)
The Journal of the American Board of Family Practice
Vol. 1, Issue 3
1 Jul 1988
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The Influence Of Work On The Outcome Of Low-Risk Pregnancies
Mindy Ann Smith, Kelley A. Brix, Caryl J. Heaton
The Journal of the American Board of Family Practice Jul 1988, 1 (3) 167-174; DOI: 10.3122/jabfm.1.3.167

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The Influence Of Work On The Outcome Of Low-Risk Pregnancies
Mindy Ann Smith, Kelley A. Brix, Caryl J. Heaton
The Journal of the American Board of Family Practice Jul 1988, 1 (3) 167-174; DOI: 10.3122/jabfm.1.3.167
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