[Pregnancy outcomes in medical residents: An observational study]

Gynecol Obstet Fertil Senol. 2021 Jun;49(6):503-510. doi: 10.1016/j.gofs.2020.11.024. Epub 2020 Dec 2.
[Article in French]

Abstract

Objective: To describe the working conditions during pregnancy of medical residents. To describe adverse outcomes and to identify professional factors associated with these outcomes.

Methods: This observational study described the working conditions during pregnancy of medical residents and the outcomes. An online questionnaire was sent to the 773 residents, of all specialties, enrolled in medical school in Nancy, France.

Results: Three hundred and one residents participated in the study (38,9 %). The average daily working time of students was closed to 9hours, regardless the trimester, with a break time that rarely exceed one hour. Residents said continued to be on call beyond 10 weeks of gestation in 87.5 % of cases, the legal term for stopping these. The rate of adverse outcomes was 42.6 % (23/54). The rates of preterm labors and preterm births were 22.5 % and 15 % respectively. A significant association was found between working more than 10hours per day during 2nd trimester and adverse outcomes.

Conclusion: A strengthening of health monitoring at work with adaptation of workstation, information campaigns, as well as the designation of resource persons within the faculties seem essential.

Keywords: Conditions de travail; Issues de grossesse; Jeunes médecins; Pregnancy outcomes; Residency training; Working conditions.

Publication types

  • Observational Study

MeSH terms

  • Female
  • Humans
  • Infant, Newborn
  • Internship and Residency*
  • Pregnancy
  • Pregnancy Outcome / epidemiology
  • Pregnancy Trimester, Second
  • Premature Birth* / epidemiology
  • Surveys and Questionnaires