Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil

Detalhes bibliográficos
Autor(a) principal: Buen, Mariana
Data de Publicação: 2020
Outros Autores: Amaral, Eliana, Souza, Renato T., Passini, Renato, Lajos, Giuliane J., Tedesco, Ricardo P., Nomura, Marcelo L., Dias, Tábata Z., Rehder, Patrícia M., Sousa, Maria Helena, Cecatti, José Guilherme, Marba, Sérgio T., Matias, Jacinta P., Maia Filho, Nelson L., Borges, Vera T. M. [UNESP], Oliveira, Laércio R., Oliveira, Tenilson A., Assumpção, Augusta M. B., Moreira, Maria E. L., Guedes, Marcela, Senger, Cintia E, Vettorazzi, Janete, Martinez, Francisco E., Quintana, Silvana M., Melli, Patricia P. S., Lima, Antonio C. F. Barbosa, Leite, Debora F., Melo Junior, Elias, Nascimento, Denis J., Tristão, Edson G., Siqueira, Luciana F., Coutinho, Pedro R., Guinsburg, Ruth, Zamarian, Ana C. P., Souza, Eduardo, Martins, Marilia G., Nunes, Marynea V., Paiva, Claudio S. M., Freire, Djacyr M. C., Lima, Moisés D., Porto, Ana M. F., Coelho, Isabela C., Melo, Adriana S. O., Melo, Fabiana O., Amorim, Melânia M. R., Menezes, Carlos A. S., Aquino, Marcelo, Feitosa, Francisco E. L., Chaves, George N., Silveira, Miriam R. F., Sass, Nelson, Lotufo, Fátima A. H., Uzilin, Kaliane P., Andreucci, Carla B., Zanette, Elvira A. O.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1038/s41598-020-66231-2
http://hdl.handle.net/11449/198996
Resumo: Spontaneous preterm birth (sPTB) is a major pregnancy complication involving biological, social, behavioural and environmental mechanisms. Workload, shift and intensity may play a role in the occurrence of sPTB. This analysis is aimed addressing the effect of occupational activities on the risk for sPTB and the related outcomes. We conducted a secondary analysis of the EMIP study, a Brazilian multicentre cross-sectional study. For this analysis, we included 1,280 singleton sPTB and 1,136 singleton term birth cases. Independent variables included sociodemographic characteristics, clinical complications, work characteristics, and physical effort devoted to household chores. A backward multiple logistic regression analysis was applied for a model using work characteristics, controlled by cluster sampling design. On bivariate analysis, discontinuing work during pregnancy and working until the 7th month of pregnancy were risks for premature birth while working during the 8th - 9th month of pregnancy, prolonged standing during work and doing household chores appeared to be protective against sPTB during pregnancy. Previous preterm birth, polyhydramnios, vaginal bleeding, stopping work during pregnancy, or working until the 7th month of pregnancy were risk factors in the multivariate analysis. The protective effect of variables compatible with exertion during paid work may represent a reverse causality. Nevertheless, a reduced risk associated with household duties, and working until the 8th-9th month of pregnancy support the hypothesis that some sort of physical exertion may provide actual protection against sPTB.
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spelling Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in BrazilSpontaneous preterm birth (sPTB) is a major pregnancy complication involving biological, social, behavioural and environmental mechanisms. Workload, shift and intensity may play a role in the occurrence of sPTB. This analysis is aimed addressing the effect of occupational activities on the risk for sPTB and the related outcomes. We conducted a secondary analysis of the EMIP study, a Brazilian multicentre cross-sectional study. For this analysis, we included 1,280 singleton sPTB and 1,136 singleton term birth cases. Independent variables included sociodemographic characteristics, clinical complications, work characteristics, and physical effort devoted to household chores. A backward multiple logistic regression analysis was applied for a model using work characteristics, controlled by cluster sampling design. On bivariate analysis, discontinuing work during pregnancy and working until the 7th month of pregnancy were risks for premature birth while working during the 8th - 9th month of pregnancy, prolonged standing during work and doing household chores appeared to be protective against sPTB during pregnancy. Previous preterm birth, polyhydramnios, vaginal bleeding, stopping work during pregnancy, or working until the 7th month of pregnancy were risk factors in the multivariate analysis. The protective effect of variables compatible with exertion during paid work may represent a reverse causality. Nevertheless, a reduced risk associated with household duties, and working until the 8th-9th month of pregnancy support the hypothesis that some sort of physical exertion may provide actual protection against sPTB.Department of Obstetrics & Gynecology University of Campinas (Unicamp) School of MedicineJundiai School of MedicineFaculdade de Medicina de Botucatu - UNESP -Casa Maternal Leonor Mendes de Barros -FIOCRUZ - Instituto Fernandes Figueira -Hospital de Clinicas de Porto Alegre -Hospital das Clinicas da FMRP-USP -Hospital das Clínicas da UFPE -Hospital das Clínicas da Universidade Federal do PR -Hospital Estadual de Sumaré -Hospital São Paulo - UNIFESP -Hospital Universitário da UFMA -Hospital Universitário Lauro Wanderley da UFPB -IMIP Instituto de Medicina Integral Prof. Fernando Figueira -Instituto de Saúde Elpídio de Almeida (ISEA) -Maternidade Climério de Oliveira -Maternidade Escola Assis Chateaubriand -Maternidade Escola de Vila Nova Cachoeirinha Dr. Mario Moraes A. Silva -Santa Casa de Limeira -Santa Casa de São Carlos -Faculdade de Medicina de Botucatu - UNESP -Universidade Estadual de Campinas (UNICAMP)Jundiai School of MedicineUniversidade Estadual Paulista (Unesp)Casa Maternal Leonor Mendes de Barros -FIOCRUZ - Instituto Fernandes Figueira -Hospital de Clinicas de Porto Alegre -Universidade de São Paulo (USP)Universidade Federal de Pernambuco (UFPE)Hospital das Clínicas da Universidade Federal do PR -Hospital Estadual de Sumaré -Universidade Federal de São Paulo (UNIFESP)Hospital Universitário da UFMA -Universidade Federal da Paraíba (UFPB)IMIP Instituto de Medicina Integral Prof. Fernando Figueira -Instituto de Saúde Elpídio de Almeida (ISEA) -Maternidade Climério de Oliveira -Maternidade Escola Assis Chateaubriand -Maternidade Escola de Vila Nova Cachoeirinha Dr. Mario Moraes A. Silva -Santa Casa de Limeira -Santa Casa de São Carlos -Buen, MarianaAmaral, ElianaSouza, Renato T.Passini, RenatoLajos, Giuliane J.Tedesco, Ricardo P.Nomura, Marcelo L.Dias, Tábata Z.Rehder, Patrícia M.Sousa, Maria HelenaCecatti, José GuilhermeMarba, Sérgio T.Matias, Jacinta P.Maia Filho, Nelson L.Borges, Vera T. M. [UNESP]Oliveira, Laércio R.Oliveira, Tenilson A.Assumpção, Augusta M. B.Moreira, Maria E. L.Guedes, MarcelaSenger, Cintia EVettorazzi, JaneteMartinez, Francisco E.Quintana, Silvana M.Melli, Patricia P. S.Lima, Antonio C. F. BarbosaLeite, Debora F.Melo Junior, EliasNascimento, Denis J.Tristão, Edson G.Siqueira, Luciana F.Coutinho, Pedro R.Guinsburg, RuthZamarian, Ana C. P.Souza, EduardoMartins, Marilia G.Nunes, Marynea V.Paiva, Claudio S. M.Freire, Djacyr M. C.Lima, Moisés D.Porto, Ana M. F.Coelho, Isabela C.Melo, Adriana S. O.Melo, Fabiana O.Amorim, Melânia M. R.Menezes, Carlos A. S.Aquino, MarceloFeitosa, Francisco E. L.Chaves, George N.Silveira, Miriam R. F.Sass, NelsonLotufo, Fátima A. H.Uzilin, Kaliane P.Andreucci, Carla B.Zanette, Elvira A. O.2020-12-12T01:27:52Z2020-12-12T01:27:52Z2020-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1038/s41598-020-66231-2Scientific Reports, v. 10, n. 1, 2020.2045-2322http://hdl.handle.net/11449/19899610.1038/s41598-020-66231-22-s2.0-85086588704Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengScientific Reportsinfo:eu-repo/semantics/openAccess2021-10-22T22:17:05Zoai:repositorio.unesp.br:11449/198996Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T18:01:52.034019Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil
title Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil
spellingShingle Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil
Buen, Mariana
title_short Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil
title_full Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil
title_fullStr Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil
title_full_unstemmed Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil
title_sort Maternal Work and Spontaneous Preterm Birth: A Multicenter Observational Study in Brazil
author Buen, Mariana
author_facet Buen, Mariana
Amaral, Eliana
Souza, Renato T.
Passini, Renato
Lajos, Giuliane J.
Tedesco, Ricardo P.
Nomura, Marcelo L.
Dias, Tábata Z.
Rehder, Patrícia M.
Sousa, Maria Helena
Cecatti, José Guilherme
Marba, Sérgio T.
Matias, Jacinta P.
Maia Filho, Nelson L.
Borges, Vera T. M. [UNESP]
Oliveira, Laércio R.
Oliveira, Tenilson A.
Assumpção, Augusta M. B.
Moreira, Maria E. L.
Guedes, Marcela
Senger, Cintia E
Vettorazzi, Janete
Martinez, Francisco E.
Quintana, Silvana M.
Melli, Patricia P. S.
Lima, Antonio C. F. Barbosa
Leite, Debora F.
Melo Junior, Elias
Nascimento, Denis J.
Tristão, Edson G.
Siqueira, Luciana F.
Coutinho, Pedro R.
Guinsburg, Ruth
Zamarian, Ana C. P.
Souza, Eduardo
Martins, Marilia G.
Nunes, Marynea V.
Paiva, Claudio S. M.
Freire, Djacyr M. C.
Lima, Moisés D.
Porto, Ana M. F.
Coelho, Isabela C.
Melo, Adriana S. O.
Melo, Fabiana O.
Amorim, Melânia M. R.
Menezes, Carlos A. S.
Aquino, Marcelo
Feitosa, Francisco E. L.
Chaves, George N.
Silveira, Miriam R. F.
Sass, Nelson
Lotufo, Fátima A. H.
Uzilin, Kaliane P.
Andreucci, Carla B.
Zanette, Elvira A. O.
author_role author
author2 Amaral, Eliana
Souza, Renato T.
Passini, Renato
Lajos, Giuliane J.
Tedesco, Ricardo P.
Nomura, Marcelo L.
Dias, Tábata Z.
Rehder, Patrícia M.
Sousa, Maria Helena
Cecatti, José Guilherme
Marba, Sérgio T.
Matias, Jacinta P.
Maia Filho, Nelson L.
Borges, Vera T. M. [UNESP]
Oliveira, Laércio R.
Oliveira, Tenilson A.
Assumpção, Augusta M. B.
Moreira, Maria E. L.
Guedes, Marcela
Senger, Cintia E
Vettorazzi, Janete
Martinez, Francisco E.
Quintana, Silvana M.
Melli, Patricia P. S.
Lima, Antonio C. F. Barbosa
Leite, Debora F.
Melo Junior, Elias
Nascimento, Denis J.
Tristão, Edson G.
Siqueira, Luciana F.
Coutinho, Pedro R.
Guinsburg, Ruth
Zamarian, Ana C. P.
Souza, Eduardo
Martins, Marilia G.
Nunes, Marynea V.
Paiva, Claudio S. M.
Freire, Djacyr M. C.
Lima, Moisés D.
Porto, Ana M. F.
Coelho, Isabela C.
Melo, Adriana S. O.
Melo, Fabiana O.
Amorim, Melânia M. R.
Menezes, Carlos A. S.
Aquino, Marcelo
Feitosa, Francisco E. L.
Chaves, George N.
Silveira, Miriam R. F.
Sass, Nelson
Lotufo, Fátima A. H.
Uzilin, Kaliane P.
Andreucci, Carla B.
Zanette, Elvira A. O.
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author
author
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author
author
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author
author
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dc.contributor.none.fl_str_mv Universidade Estadual de Campinas (UNICAMP)
Jundiai School of Medicine
Universidade Estadual Paulista (Unesp)
Casa Maternal Leonor Mendes de Barros -
FIOCRUZ - Instituto Fernandes Figueira -
Hospital de Clinicas de Porto Alegre -
Universidade de São Paulo (USP)
Universidade Federal de Pernambuco (UFPE)
Hospital das Clínicas da Universidade Federal do PR -
Hospital Estadual de Sumaré -
Universidade Federal de São Paulo (UNIFESP)
Hospital Universitário da UFMA -
Universidade Federal da Paraíba (UFPB)
IMIP Instituto de Medicina Integral Prof. Fernando Figueira -
Instituto de Saúde Elpídio de Almeida (ISEA) -
Maternidade Climério de Oliveira -
Maternidade Escola Assis Chateaubriand -
Maternidade Escola de Vila Nova Cachoeirinha Dr. Mario Moraes A. Silva -
Santa Casa de Limeira -
Santa Casa de São Carlos -
dc.contributor.author.fl_str_mv Buen, Mariana
Amaral, Eliana
Souza, Renato T.
Passini, Renato
Lajos, Giuliane J.
Tedesco, Ricardo P.
Nomura, Marcelo L.
Dias, Tábata Z.
Rehder, Patrícia M.
Sousa, Maria Helena
Cecatti, José Guilherme
Marba, Sérgio T.
Matias, Jacinta P.
Maia Filho, Nelson L.
Borges, Vera T. M. [UNESP]
Oliveira, Laércio R.
Oliveira, Tenilson A.
Assumpção, Augusta M. B.
Moreira, Maria E. L.
Guedes, Marcela
Senger, Cintia E
Vettorazzi, Janete
Martinez, Francisco E.
Quintana, Silvana M.
Melli, Patricia P. S.
Lima, Antonio C. F. Barbosa
Leite, Debora F.
Melo Junior, Elias
Nascimento, Denis J.
Tristão, Edson G.
Siqueira, Luciana F.
Coutinho, Pedro R.
Guinsburg, Ruth
Zamarian, Ana C. P.
Souza, Eduardo
Martins, Marilia G.
Nunes, Marynea V.
Paiva, Claudio S. M.
Freire, Djacyr M. C.
Lima, Moisés D.
Porto, Ana M. F.
Coelho, Isabela C.
Melo, Adriana S. O.
Melo, Fabiana O.
Amorim, Melânia M. R.
Menezes, Carlos A. S.
Aquino, Marcelo
Feitosa, Francisco E. L.
Chaves, George N.
Silveira, Miriam R. F.
Sass, Nelson
Lotufo, Fátima A. H.
Uzilin, Kaliane P.
Andreucci, Carla B.
Zanette, Elvira A. O.
description Spontaneous preterm birth (sPTB) is a major pregnancy complication involving biological, social, behavioural and environmental mechanisms. Workload, shift and intensity may play a role in the occurrence of sPTB. This analysis is aimed addressing the effect of occupational activities on the risk for sPTB and the related outcomes. We conducted a secondary analysis of the EMIP study, a Brazilian multicentre cross-sectional study. For this analysis, we included 1,280 singleton sPTB and 1,136 singleton term birth cases. Independent variables included sociodemographic characteristics, clinical complications, work characteristics, and physical effort devoted to household chores. A backward multiple logistic regression analysis was applied for a model using work characteristics, controlled by cluster sampling design. On bivariate analysis, discontinuing work during pregnancy and working until the 7th month of pregnancy were risks for premature birth while working during the 8th - 9th month of pregnancy, prolonged standing during work and doing household chores appeared to be protective against sPTB during pregnancy. Previous preterm birth, polyhydramnios, vaginal bleeding, stopping work during pregnancy, or working until the 7th month of pregnancy were risk factors in the multivariate analysis. The protective effect of variables compatible with exertion during paid work may represent a reverse causality. Nevertheless, a reduced risk associated with household duties, and working until the 8th-9th month of pregnancy support the hypothesis that some sort of physical exertion may provide actual protection against sPTB.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-12T01:27:52Z
2020-12-12T01:27:52Z
2020-12-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1038/s41598-020-66231-2
Scientific Reports, v. 10, n. 1, 2020.
2045-2322
http://hdl.handle.net/11449/198996
10.1038/s41598-020-66231-2
2-s2.0-85086588704
url http://dx.doi.org/10.1038/s41598-020-66231-2
http://hdl.handle.net/11449/198996
identifier_str_mv Scientific Reports, v. 10, n. 1, 2020.
2045-2322
10.1038/s41598-020-66231-2
2-s2.0-85086588704
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Scientific Reports
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
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instname_str Universidade Estadual Paulista (UNESP)
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institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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