{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T11:24:39Z","timestamp":1789644279767,"version":"4.0.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,6,17]],"date-time":"2014-06-17T00:00:00Z","timestamp":1402963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nurses encounter multiple occupational exposures at work which may harm their reproductive health. The purpose of the study was to compare pregnancy complications and outcomes including cesarean deliveries, tocolysis, miscarriage, and preterm labor between female nurses and comparable women who were not nurses in Taiwan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This nationwide population\u2010based study was performed using the National Health Insurance Research Database from 1997 to 2008. We identified 3,656 pregnancies among 2,326 nurses and 111,889 pregnancies among 74,919 non\u2010nurses. A generalized estimating equation was used to compare risks between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rates of tocolysis (28.6 vs 22.3%), miscarriage (6.0 vs 5.3%), and preterm labor (8.1 vs 4.4%) were significantly higher among nurses than non\u2010nurses. After adjustment for background differences, nurses had significantly higher risks for cesarean section (adjusted <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.12 [95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 1.03\u20131.22]), tocolysis (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.18 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.09\u20131.29]), and preterm labor (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.46 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.28\u20131.67]) than non\u2010nurses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nurses are at higher risk for cesarean section, tocolysis, and preterm labor than non\u2010nurses. Occupational exposure related to these adverse pregnancy outcomes should be examined. Strategies to decrease the risks should be developed to improve reproductive health among nurses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12118","type":"journal-article","created":{"date-parts":[[2014,6,17]],"date-time":"2014-06-17T09:08:53Z","timestamp":1402996133000},"page":"262-267","source":"Crossref","is-referenced-by-count":18,"title":["Do Nurses Have Worse Pregnancy Outcomes Than Non\u2010Nurses?"],"prefix":"10.1111","volume":"41","author":[{"given":"Hui\u2010Ju","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Taipei Veterans General Hospital Taipei Taiwan"},{"name":"Department of Nursing National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng\u2010Yu","family":"Kao","sequence":"additional","affiliation":[{"name":"Institute of Public Health National Yang\u2010Ming University Taipei Taiwan"},{"name":"National Health Insurance Administration Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiing\u2010Jeng","family":"Chou","sequence":"additional","affiliation":[{"name":"Institute of Public Health National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Huang","sequence":"additional","affiliation":[{"name":"Institute of Hospital and Health Care Administration National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuang\u2010Yi","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Taipei Veterans General Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Yin","family":"Chien","sequence":"additional","affiliation":[{"name":"Institute of Clinical and Community Health Nursing National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(97)90012-2"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.7883\/yoken.66.121"},{"issue":"2","key":"e_1_2_7_4_1","first-page":"102","article-title":"How do nurses manage their occupational exposure to cytotoxic drugs? 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