Sick depart and medicine use in being pregnant: a European web-based examine.
BMJ Open. 2017 Aug 03;7(eight):e014934
Authors: Truong BT, Lupattelli A, Kristensen P, Nordeng H
BACKGROUND AND OBJECTIVE: A comparability of sick depart in being pregnant between international locations is troublesome as most research have been performed in single international locations in Scandinavia. The target of this examine was to discover patterns of and causes for sick depart throughout being pregnant on a multinational stage, specializing in remedy use but additionally variations in sick depart insurance policies.
DESIGN AND SETTING: Cross-sectional, web-based examine in 12 European international locations from October 2011 to February 2012. Information have been collected by way of an digital questionnaire.
PARTICIPANTS: Pregnant girls and moms of youngsters underneath the age of 1?yr.
PRIMARY OUTCOME MEASURE: Sick depart prevalence in being pregnant.
RESULTS: Of 6686 girls included, 3385 (50.6%) had been on sick depart throughout being pregnant. The charges of sick depart various throughout international locations, starting from 31.7%-34.eight% in Sweden and the UK to 62.four%-71.three% in Norway, Serbia, Croatia and Poland. The most typical causes for being on sick depart have been being pregnant issues (26.5%); ache within the neck, again or pelvic girdle (16.2%); and nausea and vomiting (NVP, 16.zero%). Ladies utilizing medicines for acute sicknesses have been extra more likely to be on sick depart than their non-medicated counterparts, whereas an reverse development was noticed for ladies with persistent problems, the place non-medicated girls have been extra more likely to be on sick depart. Ladies from international locations with ‘low’ sick depart insurance policies have been much less more likely to have extensions of sick leaves in contrast with girls from international locations with ‘medium’ insurance policies (adjusted OR zero.63, 95%?CI zero.49 to zero.82).
CONCLUSION: The charges of sick depart in being pregnant differ enormously throughout European international locations. Ladies utilizing medicines have been extra more likely to be on sick depart, particularly for acute sicknesses. The variations in sick depart patterns throughout international locations solely partially mirrored variations in sick depart insurance policies, which suggests that sick depart in being pregnant can be affected by different nationwide variations.
PMID: 28775180 [PubMed – indexed for MEDLINE]