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Occupational Risks in Midwifery: From Bernardino Ramazzini to Modern Times

  • Bianchi, Tommaso (School of Medicine and Surgery, University of Milano Bicocca) ;
  • Belingheri, Michael (School of Specialization in Occupational Medicine, University of Milan) ;
  • Nespoli, Antonella (School of Medicine and Surgery, University of Milano Bicocca) ;
  • De Vito, Giovanni (School of Medicine and Surgery, University of Milano Bicocca) ;
  • Riva, Michele A. (School of Medicine and Surgery, University of Milano Bicocca)
  • Received : 2018.07.06
  • Accepted : 2018.11.26
  • Published : 2019.06.30

Abstract

Occupational risks are often underestimated in midwifery. It is not commonly known that occupational risks were originally described by the Italian physician Bernardino Ramazzini (1633-1714) at the beginning of the 18th century. Our aim was to describe occupational risks in midwifery from Ramazzini to modern times. The original text by Bernardino Ramazzini was analyzed. A review of modern scientific articles on occupational risks in midwifery was conducted. Ramazzini identified two major occupational risks in midwifery: infections and awkward postures. Modern literature seems to agree with his considerations, focusing on infection, use of universal protection and personal protective equipment, and musculoskeletal problems. Modern studies also evidenced posttraumatic stress disorder that was probably postulated by Ramazzini himself. The poor number of articles in literature on midwives' occupational risks shows a lack of interest toward this issue. Prevention should therefore be emphasized in this field, so high-quality studies on occupational risks in midwifery are needed.

Keywords

References

  1. Carnevale F, Mendini M, Moriani G, editors. Bernardino Ramazzini. Medical and physiological works. Caselle di Sommacampagna (Verona). Cierre Edizione; 2009.
  2. Galimberti E, Manzini F, Riva MA. Bernardino Ramazzini (1633-1714): an often forgotten pioneer in maritime health. Int Marit Health 2014;65:41. https://doi.org/10.5603/MH.2014.0009
  3. Riva MA, Belingheri M, De Vito G, Lucchini R. Bernardino Ramazzini (1633-1714). J Neurol 2018;265:2164-5. https://doi.org/10.1007/s00415-018-8733-y
  4. Loewen NL, Dhillon GL, Willy ME, Wesley RA, Henderson DK. Use of precautions by nurse-midwives to prevent occupational infections with HIV and other blood-borne diseases. J Nurse Midwifery 1989;34:309-17. https://doi.org/10.1016/0091-2182(89)90004-9
  5. Panlilio AL, Welch BA, Bell DM, Foy DR, Parrish CM, Perlino CA, et al. Blood and amniotic fluid contact sustained by obstetric personnel during deliveries. Am J Obstet Gynecol 1992;167:703-8. https://doi.org/10.1016/S0002-9378(11)91575-0
  6. Sasaki M, Kanda K. Glove selection as personal protective equipment and occupational dermatitis among Japanese midwives. J Occup Health 2006;48:35-43. https://doi.org/10.1539/joh.48.35
  7. Long MH, Johnston V, Bogossian FE. Helping women but hurting ourselves? Neck and upper back musculoskeletal symptoms in a cohort of Australian Midwives. Midwifery 2013;29:359-67. https://doi.org/10.1016/j.midw.2012.02.003
  8. Long MH, Bogossian FE, Johnston V. Functional consequences of work related spinal musculoskeletal symptoms in a cohort of Australian midwifes. Women Birth 2013;26:e50-8. https://doi.org/10.1016/j.wombi.2012.09.005
  9. Stichler JF, Feiler JL, Chase K. Understanding risks of workplace injury in labour and delivery. J Obstet Gynecol Neonatal Nurs 2012;41:71-81. https://doi.org/10.1111/j.1552-6909.2011.01308.x
  10. Long MH, Johnston V, Bogossian F. Work-related upper quadrant musculoskeletal disorders in midwives, nurses and physicians: a systematic review of risk factors and functional consequences. Appl Ergon 2012;43:455-67. https://doi.org/10.1016/j.apergo.2011.07.002
  11. Leinweber J, Creedy DK, Rowe H, Gamble J. A socioecological model of post-traumatic stress among Australian midwives. Midwifery 2017;45:7-13. https://doi.org/10.1016/j.midw.2016.12.001

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