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      Características de las trabajadoras embarazadas y procedimientos de protección de la maternidad: estudio multicéntrico Translated title: Characteristics of pregnant workers and maternity protection procedures: multicenter study

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          Abstract

          RESUMEN. Objetivos: Describir y comparar las características de las trabajadoras que solicitaron la valoración de riesgo durante el embarazo a los Servicios de Prevención de Riesgos Laborales participantes. Identificar la asociación entre el tiempo de respuesta y la solicitud de valoración de riesgo durante el embarazo. Material y Métodos: Estudio descriptivo/analítico y multicéntrico de trabajadoras que notificaron su gestación entre enero 2017 y diciembre 2018. La información fue obtenida de la historia clínico-laboral y ficha de riesgo. Resultados: Se estudiaron 959 trabajadoras. Al comparar las variables: edad, índice de masa corporal, hábito tabáquico, centro de trabajo y profesión, se obtuvieron diferencias significativas, igual que en el tiempo medio de respuesta. Conclusiones: La edad media de las trabajadoras embarazadas fue elevada. La mayoría fueron enfermeras de centros de atención hospitalaria y especializada. Se debería mejorar el tiempo de respuesta de la valoración de riesgo durante el embarazo.

          Translated abstract

          ABSTRACT Objectives: Describe and compare the characteristics of the workers who requested the risk assessment during pregnancy to the participating Occupational Risk Prevention Services. Identify the association between the response time and the request for risk assessment during the pregnancy. Material and Methods: Descriptive/analytical and multicenter study of female workers who reported their pregnancy between January 2017 and December 2018. The information was obtained from the clinical-occupational history and risk sheet. Results: 959 workers were studied. When comparing the variables: age, body mass index, smoking, workplace and profession, significant differences were obtained, as well as in the mean response time. Conclusions: The average age of the pregnant workers was high. Most were nurses from hospital and specialized care centers. The response time of the risk assessment during pregnancy should be improved.

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          Impact of maternal body mass index and gestational weight gain on pregnancy complications: an individual participant data meta‐analysis of European, North American, and Australian cohorts

          To assess the separate and combined associations of maternal pre-pregnancy BMI and gestational weight gain with the risks of pregnancy complications and their population impact. Individual participant data meta-analysis of 39 cohorts. Europe, North America and Oceania. 265,270 births. Information on maternal pre-pregnancy BMI, gestational weight gain, and pregnancy complications was obtained. Multilevel binary logistic regression models were used. Gestational hypertension, pre-eclampsia, gestational diabetes, preterm birth, small and large size for gestational age at birth. Higher maternal pre-pregnancy BMI and gestational weight gain were, across their full ranges, associated with higher risks of gestational hypertensive disorders, gestational diabetes and large size for gestational age at birth. Preterm birth risk was higher at lower and higher BMI and weight gain. Compared to normal weight mothers with medium gestational weight gain, obese mothers with high gestational weight gain had the highest risk of any pregnancy complication (Odds Ratio 2.51 (95% Confidence Interval 2.31, 2.74)). We estimated that 23.9% of any pregnancy complication was attributable to maternal overweight/obesity and 31.6% of large size for gestational age infants was attributable to excessive gestational weight gain. Maternal pre-pregnancy BMI and gestational weight gain are, across their full ranges, associated with the risks of pregnancy complications. Obese mothers with high gestational weight gain are at the highest risk of pregnancy complications. Promoting a healthy pre-pregnancy BMI and gestational weight gain may reduce the burden of pregnancy complications and ultimately the risk of maternal and neonatal morbidity. Promoting a healthy body mass index and gestational weight gain might reduce the population burden of pregnancy complications.
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            Association between perinatal outcomes and maternal pre-pregnancy body mass index.

            To quantify the association between maternal pre-pregnancy body mass index (BMI) and perinatal outcomes.
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              Ley Orgánica 3/2007, de 22 de marzo, para la igual efectiva de mujeres y hombres

              (2007)
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                Author and article information

                Journal
                medtra
                Revista de la Asociación Española de Especialistas en Medicina del Trabajo
                Rev Asoc Esp Espec Med Trab
                Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
                1132-6255
                2020
                : 29
                : 4
                : 340-350
                Affiliations
                [4] Galicia orgnameHospital Universitario de Santiago de Compostela orgdiv1Servicio de Medicina Preventiva orgdiv2Unidad de Prevención de Riesgos Laborales España
                [1] Las Palmas de Gran Canaria orgnameUnidad Docente de Medicina del Trabajo de Canarias España
                [3] Pamplona orgnameUnidad Docente de Medicina del Trabajo de Navarra España
                [5] orgnameComplejo Hospitalario Universitario de Vigo orgdiv1Servicio de Medicina Preventiva orgdiv2Unidad de Prevención de Riesgos Laborales Spain
                [2] Pamplona orgnameUnidad Docente de Medicina del Trabajo de Navarra España
                [6] Madrid orgnameEscuela Nacional de Medicina del Trabajo del Instituto de Salud Carlos III España
                Article
                S1132-62552020000400340 S1132-6255(20)02900400340
                a6217072-4b2b-4edf-85a8-e00b1a3d604f

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                : 03 August 2020
                : 12 December 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 11
                Product

                SciELO Spain

                Categories
                Textos Originales

                Social Protection in Health,Health Status Indicators,Indicadores de Salud,Pregnant Women,Mujeres Embarazadas,Servicios Preventivos de Salud,Health Personnel,Protección Social en Salud,Preventive Health Services,Personal de Salud

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