Skip to main content
CMAJ : Canadian Medical Association Journal logoLink to CMAJ : Canadian Medical Association Journal
. 1994 Jun 1;150(11):1783–1789.

Risques de complications de la grossesse pendant la résidence.

Risk of pregnancy complications associated with residency

L Ménard 1, R Gagnon 1
PMCID: PMC1337053  PMID: 8199955

Abstract

OBJECTIVE: To determine, through a review of published articles, whether a higher prevalence of pregnancy complications is associated with residency in medicine. DATA SOURCES: Articles published between January 1980 and December 1992 found through a MEDLINE search using the MeSH terms "pregnancy complications" and "internship and residency" and through a review of the bibliographies of articles found. STUDY SELECTION: Of the 17 articles found, 6 contained data on the prevalence of pregnancy complications in residents. DATA EXTRACTION: The methodologic quality of the studies was evaluated systematically with the use of a grid. Data on the prevalence of the six most common pregnancy complications were retained. DATA SYNTHESIS: Four of the six articles had methodologic weaknesses (missing or inappropriate control groups, poorly controlled historical bias). The best study showed a higher prevalence of premature labour, pre-eclampsia and voluntary abortion in the residents than in the control subjects. CONCLUSIONS: It is difficult to draw definitive conclusions from a single study that met the criteria for methodologic quality. More and better-controlled studies involving larger numbers of subjects are needed.

Full text

PDF
1783

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alegre A., Rodriguez-Escudero F. J., Cruz E., Prada M. Influence of work during pregnancy on fetal weight. J Reprod Med. 1984 May;29(5):334–336. [PubMed] [Google Scholar]
  2. Elenbaas J. K., Cuddy P. G., Elenbaas R. M. Evaluating the medical literature, Part III: Results and discussion. Ann Emerg Med. 1983 Nov;12(11):679–686. doi: 10.1016/s0196-0644(83)80416-8. [DOI] [PubMed] [Google Scholar]
  3. Elenbaas R. M., Elenbaas J. K., Cuddy P. G. Evaluating the medical literature. Part II: Statistical analysis. Ann Emerg Med. 1983 Oct;12(10):610–620. doi: 10.1016/s0196-0644(83)80205-4. [DOI] [PubMed] [Google Scholar]
  4. Grunebaum A., Minkoff H., Blake D. Pregnancy among obstetricians: a comparison of births before, during, and after residency. Am J Obstet Gynecol. 1987 Jul;157(1):79–83. doi: 10.1016/s0002-9378(87)80350-2. [DOI] [PubMed] [Google Scholar]
  5. Klebanoff M. A., Shiono P. H., Rhoads G. G. Outcomes of pregnancy in a national sample of resident physicians. N Engl J Med. 1990 Oct 11;323(15):1040–1045. doi: 10.1056/NEJM199010113231506. [DOI] [PubMed] [Google Scholar]
  6. Klebanoff M. A., Shiono P. H., Rhoads G. G. Spontaneous and induced abortion among resident physicians. JAMA. 1991 Jun 5;265(21):2821–2825. [PubMed] [Google Scholar]
  7. Klevan J. L., Weiss J. C., Dabrow S. M. Pregnancy during pediatric residency. Attitudes and complications. Am J Dis Child. 1990 Jul;144(7):767–769. doi: 10.1001/archpedi.1990.02150310035021. [DOI] [PubMed] [Google Scholar]
  8. Mamelle N., Laumon B., Lazar P. Prematurity and occupational activity during pregnancy. Am J Epidemiol. 1984 Mar;119(3):309–322. doi: 10.1093/oxfordjournals.aje.a113750. [DOI] [PubMed] [Google Scholar]
  9. McDonald A. D., McDonald J. C., Armstrong B., Cherry N. M., Nolin A. D., Robert D. Prematurity and work in pregnancy. Br J Ind Med. 1988 Jan;45(1):56–62. doi: 10.1136/oem.45.1.56. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. McDonald A. D., McDonald J. C., Armstrong B., Cherry N., Delorme C., D-Nolin A., Robert D. Occupation and pregnancy outcome. Br J Ind Med. 1987 Aug;44(8):521–526. doi: 10.1136/oem.44.8.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Miller D. K., Homan S. M. Graphical aid for determining power of clinical trials involving two groups. BMJ. 1988 Sep 10;297(6649):672–676. doi: 10.1136/bmj.297.6649.672. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Murphy J. F., Dauncey M., Newcombe R., Garcia J., Elbourne D. Employment in pregnancy: prevalence, maternal characteristics, perinatal outcome. Lancet. 1984 May 26;1(8387):1163–1166. doi: 10.1016/s0140-6736(84)91404-1. [DOI] [PubMed] [Google Scholar]
  13. Naeye R. L., Peters E. C. Working during pregnancy: effects on the fetus. Pediatrics. 1982 Jun;69(6):724–727. [PubMed] [Google Scholar]
  14. Newton R. W., Webster P. A., Binu P. S., Maskrey N., Phillips A. B. Psychosocial stress in pregnancy and its relation to the onset of premature labour. Br Med J. 1979 Aug 18;2(6187):411–413. doi: 10.1136/bmj.2.6187.411. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Omer H., Everly G. S., Jr Psychological factors in preterm labor: critical review and theoretical synthesis. Am J Psychiatry. 1988 Dec;145(12):1507–1513. doi: 10.1176/ajp.145.12.1507. [DOI] [PubMed] [Google Scholar]
  16. Osborn L. M., Harris D. L., Reading J. C., Prather M. B. Outcome of pregnancies experienced during residency. J Fam Pract. 1990 Dec;31(6):618–622. [PubMed] [Google Scholar]
  17. Phelan S. T. Pregnancy during residency: II. Obstetric complications. Obstet Gynecol. 1988 Sep;72(3 Pt 1):431–436. [PubMed] [Google Scholar]
  18. Pomerance J. J., Gluck L., Lynch V. A. Maternal exercise as a screening test for uteroplacental insufficiency. Obstet Gynecol. 1974 Sep;44(3):383–387. [PubMed] [Google Scholar]
  19. Poynard T. Evaluation de la qualité méthodologique des essais thérapeutiques randomisés. Presse Med. 1988 Feb 27;17(7):315–318. [PubMed] [Google Scholar]
  20. Saurel-Cubizolles M. J., Kaminski M., Llado-Arkhipoff J., Du Mazaubrun C., Estryn-Behar M., Berthier C., Mouchet M., Kelfa C. Pregnancy and its outcome among hospital personnel according to occupation and working conditions. J Epidemiol Community Health. 1985 Jun;39(2):129–134. doi: 10.1136/jech.39.2.129. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Saurel M. J., Kaminski M. Pregnant women at work. Lancet. 1983 Feb 26;1(8322):475–475. doi: 10.1016/s0140-6736(83)91472-1. [DOI] [PubMed] [Google Scholar]
  22. Suonio S., Simpanen A. L., Olkkonen H., Haring P. Effect of the left lateral recumbent position compared with the supine and upright positions on placental blood flow in normal late pregnancy. Ann Clin Res. 1976 Feb;8(1):22–26. [PubMed] [Google Scholar]
  23. Yancey J. M. Ten rules for reading clinical research reports. Am J Surg. 1990 Jun;159(6):533–539. doi: 10.1016/s0002-9610(06)80059-0. [DOI] [PubMed] [Google Scholar]
  24. Zuspan F. P. Catecholamines. Their role in pregnancy and the development of pregnancy-induced hypertension. J Reprod Med. 1979 Sep;23(3):143–150. [PubMed] [Google Scholar]

Articles from CMAJ: Canadian Medical Association Journal are provided here courtesy of Canadian Medical Association

RESOURCES