Being on sick leave in all trimesters was strongly associated with hyperemesis, exercising less than weekly, chronic pain before or during pregnancy, infertility treatment (all P?<?0.001); younger maternal <a href="http://www.selleckchem.com/products/AT9283.html
">learn more age, conflicts in the workplace (both P?<?0.01); multiparity, previous depression, insomnia and lower education (all P?<?0.05). Sick leave was associated with elective caesarean section and higher infant birthweight (P?<?0.01). Adjustment of the work situation was associated with 1?week shorter duration of sick leave. Most women receive sick leave during pregnancy, but sick leave might not be caused by pregnancy alone. Previous medical and psychiatric history, work conditions and socio-economic factors need to be addressed to understand sick leave during pregnancy. An increasing number of women have an active professional role during their childbearing years. Pregnancy is a normal physiological state, yet it often presents physical challenges as well as alterations in mental and social wellbeing. Some women may experience the normal bodily changes associated with pregnancy as more disabling than others, and need to take time off work to recover or to prevent further disability. Others develop complications or disorders associated with pregnancy that make further work activity hazardous both to their own and to the baby's health. In most cases, there is a continuum ranging from normal pregnancy-related bodily discomfort to serious disability, and it is often not possible to determine when the women should be encouraged to stay at work and when it is better to take time off. In addition, some women may have <a href="https://en.wikipedia.org/wiki/Oxyclozanide
">oxyclozanide jobs where the exposure to environmental risk factors is dangerous to the pregnancy, e.g. radiation, risk of violence, or night shifts. The proportion of women taking sick leave during pregnancy may increase when more women of childbearing age participate in the work force. Different occupational groups may have different patterns of sick leave, and occupational factors may contribute to sick leave in 50% of pregnancies. Job adjustment, where possible, is associated with reduced sick leave during pregnancy.[4, 5] Not all differences in sick leave are related to physical Ridaforolimus molecular weight
work load, but may be affected by expectations in the workplace or by social conditions and attitudes. Some professionals may have the impression that pregnant women are sick-listed too easily, and this may have a negative effect on the patient�Cdoctor relationship. Opportunities for obtaining pregnancy-related sick leave may vary according to how secure one's employment status is, the level of social benefits in the society, and collective economic agreement with the employer. This may explain why small businesses and sole traders have less absenteeism, in spite of increased levels of stress and fatigue. Working conditions and compensation for sick leave vary widely between countries.