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Adverse reproductive outcomes and occupational exposures among nurses. An investigation of multiple hazardous exposures.

Authors
McAbee-RR; Gallucci-BJ; Checkoway-H
Source
AAOHN J 1993 Mar; 41(3):110-119
NIOSHTIC No.
00213661
Abstract
A retrospective, cross sectional study was conducted to investigate potential occupational reproductive hazards from ionizing radiation, chemotherapeutic agents, solvents, and video display terminals among nurses. Questionnaires concerning pregnancy outcome were completed by 663 women employed as oncology nurses, nononcology nurses, and female university employees (comparisons) in three counties in western Washington State. The three groups reported a total of 16 birth defects in the first three pregnancies. One was reported by the university employees (comparison group), seven by the nononcology nursing group, and ten by the oncology nursing group. The oncology nurse group reported significantly more birth defects than the comparison group. The most prominent association observed was an apparent effect of radiation on stillbirths and miscarriages. This was apparent both in second and third pregnancies. The combined effect of radiation and chemotherapeutic agents on miscarriages/stillbirths, and all adverse reproductive outcomes, was strongest for the second pregnancy. Unintentional occupational exposure to radiation posed potentially serious risks for adverse pregnancy outcomes. Nurses have the potential for exposures to ionizing radiation while holding patients for radiographs, and while providing direct patient care to patients during and after nuclear medicine testing and implants.
Keywords
NIOSH-Grant; Training; Health-care-personnel; Nursing; Radiation-hazards; Radiation-exposure; Reproductive-hazards; Occupational-exposure; Developmental-disorders; Epidemiology; Antineoplastic-agents
Contact
Environmental Health University of Washington Environmental Health Dept Seattle, Wash 98195
CODEN
AAJOEP
Publication Date
19930301
Document Type
Journal Article
Funding Amount
7294922
Funding Type
Grant
Fiscal Year
1993
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T15-OH-07087
Issue of Publication
3
ISSN
0891-0162
Source Name
AAOHN Journal - American Association of Occupational Health Nurses Journal
State
WA
Performing Organization
University of Washington, Seattle, Washington
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