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2000
Volume 22, Issue 3
  • ISSN: 1573-4048
  • E-ISSN: 1875-6581

Abstract

Introduction

Pregnant employees have special needs, and most of them require sick leaves during pregnancy. Pregnancy can lead to complex work adjustments and may affect women's well-being. Therefore, this integrative review of the literature aims to assess studies on job adjustment and sick leaves availed during pregnancy.

Methods

Searches were performed using Scopus, PubMed, ProQuest, ISI Web of Science, and Cochrane databases using both relevant keywords and MeSH terms, including “job adjustment”, “pregnancy”, and “sick leave” up to August 2023 (search updated in January 2024) with no geographical restrictions. Full-text articles published in English, observational studies including cross-sectional, longitudinal, and qualitative studies, including phenomenological content analysis, and grounded theory, were included. Studies published in the form of conference proceedings, other study designs with an interventional study method, and the articles for which full texts were not available were all excluded.

Results and Discussion

Twenty-one full-text articles were considered eligible. More job adjustments lead to few sick leaves and increased presenteeism during this period. Pregnant employees implement different kinds of adjustment strategies to reach job adjustment. The manager’s efforts to facilitate job adjustment and sick leave days during pregnancy should also involve professional care or guidance, adjusting job tasks, and work schedules.

Conclusion

This integrative review of the literature shows that job adjustment during pregnancy could reduce sick leave, but it needs comprehensive support from families and organizations so that pregnant women can make appropriate changes. In addition, implementing adjustment strategies should be improved in pregnant women to increase job adjustment.

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2026-02-04
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References

  1. PalmerK.T. BonziniM. BondeJ.P.E. Pregnancy: occupational aspects of management: Concise guidance.Clin. Med.2013131757910.7861/clinmedicine.13‑1‑75 23472500
    [Google Scholar]
  2. ChangJ. DingJ. XianH. PienG. Shift work and sleep patterns among pregnant nurses using actigraphy.Sleep Med.201964S6210.1016/j.sleep.2019.11.170
    [Google Scholar]
  3. DørheimS.K. BjorvatnB. Eberhard-GranM. Sick leave during pregnancy: A longitudinal study of rates and risk factors in a Norwegian population.BJOG2013120552153010.1111/1471‑0528.12035 23130975
    [Google Scholar]
  4. KristensenP. NordhagenR. WergelandE. BjerkedalT. Job adjustment and absence from work in mid-pregnancy in the Norwegian Mother and Child Cohort Study (MoBa).Occup. Environ. Med.200865856056610.1136/oem.2007.035626 18086697
    [Google Scholar]
  5. LauridsenJ. MomsenA.H. PedersenP. HansenM.L. AndersenD.R. MaimburgR.D. Workplace intervention among pregnant hospital employees – A protocol of a cluster randomized trial.Sex. Reprod. Healthc.20243910094010.1016/j.srhc.2023.100940 38065048
    [Google Scholar]
  6. AmiriS. BehnezhadS. Association between job strain and sick leave: A systematic review and meta-analysis of prospective cohort studies.Public Health202018523524210.1016/j.puhe.2020.05.023 32682182
    [Google Scholar]
  7. BrehmerL. AlexandersonK. SchyttE. Days of sick leave and inpatient care at the time of pregnancy and childbirth in relation to maternal age.Scand. J. Public Health201745322222910.1177/1403494817693456 28443491
    [Google Scholar]
  8. KærlevL. JacobsenL.B. OlsenJ. BondeJ.P. Long-term sick leave and its risk factors during pregnancy among Danish hospital employees.Scand. J. Public Health200432211111710.1080/14034940310017517 15255500
    [Google Scholar]
  9. BackhausenM.G. IversenM.L. SköldM.B. ThomsenT.G. BegtrupL.M. Experiences managing pregnant hospital staff members using an active management policy—A qualitative study.PLoS One2021162e024754710.1371/journal.pone.0247547 33635871
    [Google Scholar]
  10. GutkeA. OlssonC.B. VöllestadN. ÖbergB. WikmarL.N. RobinsonH.S. Association between lumbopelvic pain, disability and sick leave during pregnancy – A comparison of three Scandinavian cohorts.J. Rehabil. Med.201446546847410.2340/16501977‑1801 24763944
    [Google Scholar]
  11. HansenM.L. ThulstrupA.M. JuhlM. KristensenJ.K. Ramlau-HansenC.H. Occupational exposures and sick leave during pregnancy: Results from a Danish cohort study.Scand. J. Work Environ. Health201541439740610.5271/sjweh.3507 26047490
    [Google Scholar]
  12. HenrotinJ.B. VaissièreM. EtaixM. DziurlaM. MalardS. LafonD. Exposure to occupational hazards for pregnancy and sick leave in pregnant workers: A cross-sectional study.Ann. Occup. Environ. Med.20172911210.1186/s40557‑017‑0170‑3 28515945
    [Google Scholar]
  13. PedersenP. MomsenA.M.H. AndersenD.R. NielsenC.V. NohrE.A. MaimburgR.D. Associations between work environment, health status and sick leave among pregnant employees.Scand. J. Public Health202149214915810.1177/1403494820919564 32466722
    [Google Scholar]
  14. TruongB.T. LupattelliA. KristensenP. NordengH. Sick leave and medication use in pregnancy: A European web-based study.BMJ Open201778e01493410.1136/bmjopen‑2016‑014934 28775180
    [Google Scholar]
  15. NeupaneS. PensolaT. HaukkaE. OjajärviA. Leino-ArjasP. Does physical or psychosocial workload modify the effect of musculoskeletal pain on sickness absence? A prospective study among the Finnish population.Int. Arch. Occup. Environ. Health201689571972810.1007/s00420‑015‑1110‑6 26715494
    [Google Scholar]
  16. HammerP.E.C. GardeA.H. BegtrupL.M. FlachsE.M. HansenJ. HansenÅ.M. HougaardK.S. KolstadH.A. LarsenA.D. PinborgA.B. SpechtI.O. BondeJ.P. Night work and sick leave during pregnancy: A national register-based within-worker cohort study.Occup. Environ. Med.201976316316810.1136/oemed‑2018‑105331 30661025
    [Google Scholar]
  17. SeverinsenA. MidtgaardJ. BackhausenM.G. BrobergL. HegaardH.K. Pregnant women’s experiences with sick leave caused by low back pain. A qualitative study.Work201964227128110.3233/WOR‑192991 31524194
    [Google Scholar]
  18. JonsdottirS.S. SwahnbergK. ThomeM. OskarssonG.K. Bara LydsdottirL. OlafsdottirH. SigurdssonJ.F. SteingrimsdottirT. Pregnancy complications, sick leave and service needs of women who experience perinatal distress, weak social support and dissatisfaction in their partner relationships.Scand. J. Caring Sci.202034116718010.1111/scs.12718 31218722
    [Google Scholar]
  19. BaorL. SoskolneV. Mothers of IVF twins: The mediating role of employment and social coping resources in maternal stress.Women Health201252325226410.1080/03630242.2012.662934 22533899
    [Google Scholar]
  20. BegtrupL.M. BrauerC. JensenJ.H. Søgaard TøttenborgS. FlachsE.M. HammerP.E.C. MalmrosP.Å. BondeJ.P.E. Impact of a manager-oriented intervention on occupational exposures and well-being among pregnant hospital and day-care employees: A cluster randomised trial.Scand. J. Public Health202351218819610.1177/14034948211018387 34120525
    [Google Scholar]
  21. StafneS.N. VøllestadN.K. MørkvedS. SalvesenK.Å. Stendal RobinsonH. Impact of job adjustment, pain location and exercise on sick leave due to lumbopelvic pain in pregnancy: A longitudinal study.Scand. J. Prim. Health Care201937221822610.1080/02813432.2019.1608058 31057021
    [Google Scholar]
  22. AndersenD.R. MomsenA.M.H. PedersenP. MaimburgR.D. Reflections on workplace adjustments for pregnant employees: A qualitative study of the experiences of pregnant employees and their managers.BMC Pregnancy Childbirth202222145610.1186/s12884‑022‑04749‑1 35650542
    [Google Scholar]
  23. AlstveitM. SeverinssonE. KarlsenB. Health resources and strategies among employed women in norway during pregnancy and early motherhood.Nurs. Res. Pract.201520151810.1155/2015/705892 25945258
    [Google Scholar]
  24. BrekkeI. RichardsenK.R. JenumA.K. Sickness absence in pregnancy and sedentary behavior: A population-based cohort study from Norway.BMC Public Health20191917110.1186/s12889‑018‑6379‑4 30651106
    [Google Scholar]
  25. StrandK. WergelandE. BjerkedalT. Job adjustment as a means to reduce sickness absence during pregnancy.Scand. J. Work Environ. Health199723537838410.5271/sjweh.235 9403469
    [Google Scholar]
  26. StrandE.W.K. StrandK. Need for job adjustment in pregnancy: Early prediction based on work history.Scand. J. Prim. Health Care1998162909410.1080/028134398750003232 9689686
    [Google Scholar]
  27. LarsenA.D. SchlünssenV. ChristensenB.H. BondeJ.P. ObelC. ThulstrupA.M. HannerzH. HougaardK.S. Exposure to psychosocial job strain during pregnancy and odds of asthma and atopic dermatitis among 7-year old children - A prospective cohort study.Scand. J. Work Environ. Health201440663964810.5271/sjweh.3452 25162986
    [Google Scholar]
  28. SydsjöA. SydsjöG. KjesslerB. Sick leave and social benefits during pregnancy – A Swedish – Norwegian comparison.Acta Obstet. Gynecol. Scand.199776874875410.3109/00016349709024341 9348252
    [Google Scholar]
  29. FallA. GouletL. VézinaM. Comparative study of major depressive symptoms among pregnant women by employment status.Springerplus20132120110.1186/2193‑1801‑2‑201 23705107
    [Google Scholar]
  30. MiyakeY. TanakaK. ArakawaM. Employment, income, and education and prevalence of depressive symptoms during pregnancy: The Kyushu Okinawa Maternal and child health study.BMC Psychiatry201212111710.1186/1471‑244X‑12‑117 22900835
    [Google Scholar]
  31. van BeukeringM.D.M. van MelickM. DuijnhovenR.G. SchuitE. LiemS.L. Frings-DresenM.H.W. Working conditions in women with multiple pregnancy—The impact on preterm birth and adherence to guidelines: A prospective cohort study.Am. J. Obstet. Gynecol.20232286734.e1734.e1610.1016/j.ajog.2022.11.1281 36379267
    [Google Scholar]
  32. DanquahE. AsiamahN. Associations between physical work environment, workplace support for health, and presenteeism: A COVID-19 context.Int. Arch. Occup. Environ. Health20229591807181610.1007/s00420‑022‑01877‑1 35570224
    [Google Scholar]
  33. SanguanklinN. McFarlinB.L. FinneganL. ParkC.G. GiurgescuC. White-TrautR. EngstromJ.L. Job strain and psychological distress among employed pregnant Thai women: Role of social support and coping strategies.Arch. Women Ment. Health201417431732610.1007/s00737‑013‑0410‑7 24414302
    [Google Scholar]
  34. DavariM.H. NaghshinehE. MostaghaciM. MirmohammadiS.J. BahalooM. JafariA. MehrparvarA.H. Shift work effects and pregnancy outcome: A historical cohort study.J. Family Reprod. Health20181228488 30820211
    [Google Scholar]
  35. MarchA.N. VillarR. Ubalde-LopezM. G BenavidesF. SerraL. Do birthrates contribute to sickness absence differences in women? A cohort study in Catalonia, Spain, 2012-2014.PLoS One2020158e023779410.1371/journal.pone.0237794 32845930
    [Google Scholar]
  36. BacchusN. The effects of globalization on women in developing nations.Honors College Theses2005
    [Google Scholar]
  37. RabacowF.M. LevyR.B. MenezesP.R. do Carmo LuizO. MalikA.M. BurdorfA. The influence of lifestyle and gender on sickness absence in Brazilian workers.BMC Public Health201414131710.1186/1471‑2458‑14‑317 24708760
    [Google Scholar]
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