Workplace intervention among pregnant hospital employees - a cluster randomised trial evaluating sick leave.

Sex Reprod Healthc

Department of Occupational Medicine, Aarhus University Hospital, Denmark; Department of Clinical Medicine, Aarhus University, Denmark; University College of Northern Denmark, Denmark; School of Nursing and Midwifery, Western Sydney University, Australia.

Published: December 2024

AI Article Synopsis

  • The study aimed to assess whether midwifery support sessions for pregnant employees could reduce sick leave related to pregnancy and improve work conditions.* -
  • A randomized controlled trial was conducted with hospital staff, comparing those who received midwifery support to those who followed standard procedures, measuring various sick leave outcomes.* -
  • Results indicated no significant difference in sick leave between the two groups, suggesting that standard midwifery support may not be effective, and that more tailored support could yield better outcomes.*

Article Abstract

Objective: Sick leave during pregnancy is common and associated with strenuous working conditions and multiple occupational exposures. The aim of this study was to evaluate the effect of midwifery facilitation of sessions with pregnant employees and managers focusing on work adjustment, to reduce discomfort and occupational risks.

Methods: A cluster randomised controlled trial was conducted. Hospital employees were randomised to intervention or reference. The intervention group received midwifery support in addition to the standard hospital pregnancy policy provided to the reference group. Outcomes were pregnancy-related sick leave and general sick leave. Intention-to-treat analysis was performed with mixed-effect models.

Results: Sick leave was similar between the intervention and reference groups, and 51 % of pregnant employees did not take any days of full pregnancy related sick leave, while approximately 21 % took more than 30 days. Group differences in mean estimates for partial sick leave were -0.5 (CI -2.3;1.3) days. Differences in full sick leave was 1.2 (CI -2.9;5.2) days, and 0.6 (CI -1.0;2.1) days for general sick leave.

Conclusion: Midwifery support as an add-on to usual pregnancy policy did not decrease sick leave during pregnancy compared to usual practice in a study population of Danish healthcare professionals. Midwifery support tailored towards the specific work environment may perhaps provide better results.

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Source
http://dx.doi.org/10.1016/j.srhc.2024.101038DOI Listing

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