Stress, work and health--of your baby

It's been a lot of years since I was pregnant--over 40, in fact. I do remember it being a time of some stress, although not from being employed. It wasn't all that easy to get or keep a job back in the 60s if you were pregnant. Some of the protectionist employment laws (there were special lounges and required work breaks for females--thinking I guess that men and women were different, something the feminists have tried to disprove) probably saved a lot of women. I do remember running the cash register at the Green Street Pharmacy and that my legs got really tired from hours of standing. However, emotional stress is probably just as damaging. I came across the following in "Take control of your aging," by Dr. William Marlarkey of Ohio State (Wooster Book Company, 1999). He did a lecture series at our church a few years back, but I didn't go--maybe didn't want to know? But this week I checked his book out of the church library.

"A study of pregnancy in attorneys noted that working a great number of hours during the first trimester of pregnancy was associated with a greater risk of miscarriage compared with lawyers who worked fewer hours. This study of 584 attorneys compared those who worked more than 45 hours per week with those women who worked less than 35 hours per week. The more hours a woman worked, the more likely she was to report feeling stressed. Those women who were partners or associates in a law firm were more likely to report stress, as were those involved in criminal law and litigation. Facts inducing stress were political intrigue, backbiting, lack of opportunity for promotion, advancement not determined by the quality of work, and lack of respect from superiors. Working more than 45 hours a week was associated with a three-fold increase in the miscarriage rate when controlling for other factors as age, smoking, and alcohol intake. Women who drank seven or more alcoholic drinks a week in the first trimester were five times more likely to have a miscarriage." p. 128-129

I don't like the bibliography in this book. Like many books that are written for a lay audience but contain technical material, there is a bibliography at the end, but no references to it in the text. So I had to go to Google to find the source of this article--in fact, as near as I can tell, his staff missed this one for the chapter on Stress, Emotions and Health. Here it is with the abstract, just so you know Dr. Malarkey isn't full of malarkey.

Self-Reported Stress and Reproductive Health of Female Lawyers.
Original Article
Journal of Occupational & Environmental Medicine. 39(6):556-568, June 1997.
Schenker, Marc B. MD; Eaton, Muzza PhD; Green, Rochelle MS; Samuels, Steven PhD

Abstract:
We studied the prevalence and relationship of stress and working conditions with adverse reproductive outcomes in a cohort of female US law-school alumnae. A total of 584 female lawyers (74% response), aged 25 to 63, responded to a mailed questionnaire. Job hours per week was a strong predictor of job stress. In a logistic regression analysis, women working >45 hours/week were five times as likely to report high stress as those working <35 hours/week. Marriage and length of time on the job showed a small inverse association with stress. Women who worked more than 45 hours/week during their first trimester of pregnancy were more likely to report high stress at work during pregnancy. After being adjusted for confounding factors, weekly job hours during the first trimester of pregnancy showed a strong independent association with spontaneous abortion risk (odds ratio [OR], 3.0; 95% confidence interval [CI], 1.4 to 6.6). Seven or more alcohol drinks/week was also independently associated with spontaneous abortion risk (OR, 4.8; 95% CI, 1.5 to 18.1). Self-reported stress during pregnancy was positively but not statistically significantly associated with spontaneous abortion (OR, 1.4; 95% CI 0.8 to 2.3).

I mention this report because we think that being unemployed or having hours reduced is stressful, but based on what the workplace does to your emotions and body, perhaps it might be a blessing in disguise--especially if you are pregnant. But even if you're not pregnant, many things that happen in the workplace are not good for you. This layoff, cut back, job change just might save your life, or at least give you more years to enjoy your retirement when you've packed away the briefcase, locked the meeting room door, and sumitted your last report.