[Sick leave for pregnant women in the municipality of Fjend 1987-1990]. / Sygemelding af gravide i Fjends Kommune 1987-1990.

All of 417 pregnancies in 1987-1990 in a rural community were retrospectively evaluated with emphasis on age, parity, previous spontaneous or induced abortion, occupation during pregnancy and sick leave from work. No difference was found in prevalence of sick leave between the employed women and the unemployed. Thirty-five percent of the women experienced sick leave at some time during pregnancy. The greatest single diagnostic group was pelvic insufficiency, which accounted for 33.5% of all days of sick leave up to the 32nd week of gestation. The incidence of pelvic insufficiency was high: 76 in 1000 deliveries. This may in part be due to a change in diagnostic criteria. Logistic regression analysis revealed that being a multipara was associated with a significantly higher risk of sick leave in the present pregnancy. Furthermore, being employed as a nurse, a shop assistant, a seamstress or a factory worker was associated with a significantly higher risk of sick leave during pregnancy in comparison with employment as a secretary. When investigating relationships between occupational conditions and the outcome of pregnancy, sick leave during pregnancy because of the same conditions may interfere significantly.

[Amniocentesis and chorionic villi biopsy. A 10-year material]. / Amniocentese og chorion villus biopsi. Et 10-års materiale.

PURPOSE: The aim of the study was to evaluate the prenatal diagnosis at a secondary referral hospital. METHOD: A retrospective study was carried out on 1752 women examined by amniocentesis (AC) (n = 1037) or chorion villus sampling (CVS) (n = 715) at Randers Centralsygehus from 1 April 1987 to 31 December 1996. RESULTS: A cytogenetic diagnosis was made in 99.8% of the AC group and 99.4% of the CVS group. Complications, recorded as either spontaneous abortion, bleeding/threatening abortion, pain/contractions or amniotic fluid leakage, were seen in 1.9%, 3.3%, 2.9%, and 2.3% after AC and 1.8%, 7.3%, 3.4%, and 0% after CVS. There were significantly more re-examinations after CVS when the procedure was carried out by less experienced operators (p < 0.003), whereas experience did not influence the number of re-examinations after AC (p = 0.8). CONCLUSION: The frequency of complications during prenatal procedures performed over a period of ten years was comparable with that reported in other studies. It is expedient and safe to perform prenatal examinations at a secondary referral hospital where currently 200 procedures are performed each year.