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- W2089230729 abstract "Multiple pregnancies are at high risk for preterm birth. Unfortunately, strategies for preventing preterm birth have been largely unsuccessful. Specific physical activities or working conditions are suspected for having an increased effect on preterm birth. The aim of this study was to perform an explorative analysis of the effect of specific work strain in the first 20 weeks of pregnancy on the occurrence of preterm birth in multiple pregnancies before 34 weeks of gestation. A prospective cohort study was conducted in the Netherlands alongside the multicentre randomized controlled trial ‘Pessaries in multiple pregnancies as a prevention of preterm birth (ProTWIN trial)’. Participants in the ProTWIN trial received questionnaires concerning their working conditions and physical work strain. From these questionnaires specific working conditions of women in the first 20 weeks of pregnancy could be assessed. We assessed whether these conditions were associated with preterm birth before 34 weeks of gestation. Of the 81 participants, 70 (86%) had a paid employment with a mean of 31 working hours per week (range 8-48 hours). The average gestational age at birth in women with and without paid employment was 34 weeks (p= 0.79). There were 21 women that delivered before 34 weeks, 17 (81%) of them had a paid employment. Work containing repetitive movements was associated with preterm birth (OR 3.0, 95% CI 1.3 to 6.6). Walking, standing, sitting down, bending over and reaching as well as strenuous work, the need for physical power and an uncomfortable posture were not associated with preterm birth. Women with multiple pregnancies and paid employment with heavy physical work strain appear not to be more at risk for preterm birth before 34 weeks of gestation. However, work containing repetitive movements is associated with preterm birth in multiple pregnancies." @default.
- W2089230729 created "2016-06-24" @default.
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- W2089230729 date "2012-01-01" @default.
- W2089230729 modified "2023-10-05" @default.
- W2089230729 title "508: Working conditions and preterm birth in multiple pregnancies" @default.
- W2089230729 doi "https://doi.org/10.1016/j.ajog.2011.10.526" @default.
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