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A survey of obstetric complications and pregnancy outcomes in paediatric and nonpaediatric anaesthesiologists
- Source :
- Pediatric Anesthesia. 13:490-495
- Publication Year :
- 2003
- Publisher :
- Wiley, 2003.
-
Abstract
- Summary: Obstetric complications such as spontaneous abortion, preterm labour, preterm delivery, low birth weight and congenital anomalies may be associated with exposure to anaesthetic gases. We hypothesized that female anaesthesiologists practicing primarily paediatric anaesthesia, with increased exposure to trace anaesthetic agents, experience a greater prevalence of obstetric complications than female anaesthesiologists performing primarily adult anaesthesia. Methods: Questionnaires were sent to all female Society for Pediatric Anesthesia (SPA) members and to an equal number of randomly selected female American Society of Anesthesiologists (ASA) members. Subjects were asked to answer questions regarding their pregnancy outcomes, work history and personal habits. Parametric data were analysed by unpaired t-tests. Nonparametric data were analysed by chi-square, Fisher’s exact test and Mann–Whitney U-test as appropriate. Results: Paediatric anaesthesiologists were defined as those having >75% paediatric practice. Paediatric anaesthesiologists were older and had greater operating room exposure during their pregnancies than nonpaediatric anaesthesiologists. There was a significantly higher prevalence of spontaneous abortion among paediatric anaesthesiologists than nonpaediatric anaesthesiologists. In an exploratory analysis, the following factors were found to be significantly associated with the development of spontaneous abortion: age >35 years, gravida >1, exercise during pregnancy, percentage of inhalational anaesthetics >75% and paediatric anaesthesia practice >75%. Independent risk factors for spontaneous abortion among anaesthesiologists included exercise (>1 time/week) and age. Conclusion: Our results suggest a higher prevalence of spontaneous abortion in anaesthesiologists whose practice is >75% paediatrics.
- Subjects :
- Adult
medicine.medical_specialty
Pediatrics
Gravidity
Pilot Projects
Abortion
Anesthesiology
Pregnancy
Occupational Exposure
Surveys and Questionnaires
medicine
Humans
Pregnancy outcomes
Exercise
business.industry
Data Collection
Infant, Newborn
Pregnancy Outcome
medicine.disease
Obstetric Labor Complications
Abortion, Spontaneous
Occupational Diseases
Pregnancy Complications
Low birth weight
Exact test
Anesthesiology and Pain Medicine
Anesthetics, Inhalation
Pediatrics, Perinatology and Child Health
Female
medicine.symptom
Pediatric anesthesia
business
Biomedical sciences
Subjects
Details
- ISSN :
- 14609592 and 11555645
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- Pediatric Anesthesia
- Accession number :
- edsair.doi.dedup.....3a06590f1f8d414ef9dceca295623f5c