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Women working in health or social work may be more likely to lose a baby

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Peer-reviewed: This work was reviewed and scrutinised by relevant independent experts.

Observational study: A study in which the subject is observed to see if there is a relationship between two or more things (eg: the consumption of diet drinks and obesity). Observational studies cannot prove that one thing causes another, only that they are linked.

People: This is a study based on research using people.

South Korean scientists say women working in particular professions may be at higher risk of miscarriage and stillbirth than others. They looked at data for 1.8 million employed and non-employed pregnant women in South Korea, and found women with jobs in health and social work had the highest risk of no live births. Higher than average risk was also seen among women working in jobs in manufacturing, wholesale/retail, education, and public/social/personal services, the researchers say. And manufacturing jobs and health/social work were linked with higher risks of miscarriages early on compared with financial and insurance jobs, they add.

Journal/conference: Journal of Occupational Health

Link to research (DOI): 10.1002/1348-9585.12380

Organisation/s: National Medical Center, South Korea

Funder: See paper for funding details.

Media release

From: Wiley

Do certain jobs increase a woman’s risk of pregnancy loss?

In an analysis of 2010–2019 information on more than 1.8 million employed and non-employed pregnant women in South Korea, certain occupations were linked with higher risks of miscarriage and stillbirth.

For the study, which is published in the Journal of Occupational Health, investigators calculated risks for three adverse outcomes: early abortive outcomes (miscarriage, ectopic pregnancy, and molar pregnancy), stillbirth, and no live birth (pregnancy with no record of live birth thereafter, which include early abortive outcomes and stillbirth).

Overall, 18.0%, 0.7%, and 39.8% of pregnancies ended in early abortive outcomes, still-births, and no live births, respectively. The risk of early abortive outcomes and stillbirths was higher in non-employed women than in employed women, while no live births were more frequent in employed women.

Women in the health and social work industry had the highest risk of no live births. Higher risks of no live births were also observed in the manufacturing, wholesale/retail trade, education, and public/social/personal service occupations. Manufacturing jobs and health/social work were associated with higher risks of early abortive outcomes compared with financial and insurance jobs.

“The good news is that the Ministry of Employment and Labor of South Korea is now revising the Industrial Accident Compensation Insurance Act to cover all the abortive outcomes in pregnant women workers. Our study contributed to the amendment of this Act, as we presented the impact of the occupational environment on adverse pregnancy outcomes,” said corresponding author Jung-won Yoon, MD, of the National Medical Center in Seoul.

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