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01-06-2018

Maternal and Child Health Among Female Firefighters in the U.S.

Authors: Sara A. Jahnke, Walker S. C. Poston, Nattinee Jitnarin, Christopher K. Haddock

Published in: Maternal and Child Health Journal | Issue 6/2018

Abstract

Objectives Despite increasing attention to the occupational impact of firefighting, little is known specific to the health of women firefighters. In particular, quantitative data is lacking on the impact firefighting has on maternal and child health for women who become pregnant while working as firefighters. Methods A total of 1821 women firefighters responded to requests to complete a self-report survey of questions about pregnancy. Women answered questions about their departments’ policies and practices and their own experiences of pregnancy. Those participants who reported a pregnancy while serving as a firefighter were asked detailed questions about their pregnancy and outcomes. Results Female firefighters reported that nearly a quarter of their first pregnancies while in the fire service ended in miscarriage and that increased to a third of pregnancies by the fourth. Rates of pre-term delivery also were high among this population. Conclusions Findings have important implications for policy and practice among women who become pregnant while actively serving in the fire service.

Agnew, J., McDiarmid, M. A., Lees, P. S., & Duffy, R. (1991). Reproductive hazards of fire fighting I. Non-chemical hazards. American Journal of Industrial Medicine, 19(4), 433–445.CrossRefPubMed

Amani, R., & Gill, T. (2013). Shiftworking, nutrition and obesity: implications for workforce health—A systematic review. Asia Pacific Journal of Clinical Nutrition, 22(4), 505–515.PubMed

American College of Obstetricians and Gynecologists (ACOG). (2015). Practice Bulletin: Early Pregnancy Loss (Practice Bulletin No. Number 150). Washington, DC: American College of Obstetricians and Gynecologists. Retrieved from http://www.acog.org/-/media/Practice-Bulletins/Committee-on-Practice-Bulletins----Gynecology/Public/pb150.pdf?dmc=1&ts=20150919T1648237829.

Andersen, A.-M. N., Wohlfahrt, J., Christens, P., Olsen, J., & Melbye, M. (2000). Maternal age and fetal loss: population based register linkage study. BMJ, 320(7251), 1708–1712. https://doi.org/10.1136/bmj.320.7251.1708.CrossRefPubMedCentral

Avalos, L.A., Galindo, C., & Li, D.-K. (2012). A systematic review to calculate background miscarriage rates using life table analysis. Birth Defects Research. Part A, Clinical and Molecular Teratology, 94(6), 417–423. https://doi.org/10.1002/bdra.23014.CrossRef

CDC—PRAMS Questionnaires—Pregnancy Risk Assessment Monitoring System—Reproductive Health. (n.d.). Retrieved 9 April 2014, from http://www.cdc.gov/prams/Questionnaire.htm#p3.

Chesnais, J.-C. (1996). Fertility, family, and social policy in contemporary Western Europe. Population and Development Review, 22(4), 729–739. https://doi.org/10.2307/2137807.CrossRef

Daniels, R. D., Kubale, T. L., Yiin, J. H., Dahm, M. M., Hales, T. R., Baris, D., … Pinkerton, L. E. (2013). Mortality and cancer incidence in a pooled cohort of US firefighters from San Francisco, Chicago and Philadelphia (1950–2009). Occupational and Environmental Medicine, oemed-2013-101662. https://doi.org/10.1136/oemed-2013-101662.

DeSisto, C. L., Kim, S. Y., & Sharma, A. J. (2014). Prevalence estimates of gestational diabetes mellitus in the United States, pregnancy risk assessment monitoring system (PRAMS), 2007–2010. Preventing Chronic Disease. https://doi.org/10.5888/pcd11.130415.PubMedPubMedCentral

Edelman, S. (2015). Woman to become NY firefighter despite failing crucial fitness test. New York Post. Retrieved from http://nypost.com/2015/05/03/woman-to-become-ny-firefighter-despite-failing-crucial-fitness-test/.

Evanoff, B. A., & Rosenstock, L. (1986). Reproductive hazards in the workplace: a case study of women firefighters. American Journal of Industrial Medicine, 9(6), 503–515.CrossRefPubMed

Fox, K., Hornick, C., & Hardin, E. (2006). International association of firefighters diversity initiative: Achieving and retaining a diverse fire service workforce. Washington, DC: IAFF.

Hulett, D. M., Bendick, M., Thomas, S. Y., & Moccio, F. (2008). A National report card on women in firefighting. Madison, WI: International Association of Women in Fire & Emergencey Services. Retrieved from https://www.i-women.org/wp-content/uploads/2014/07/35827WSP.pdf.

Ingersoll, A., & Frank, T. (2015). Working while expecting: Pregnancy discrimination claims more… Dickinson Press. Retrieved from http://www.thedickinsonpress.com/news/north-dakota/3690030-working-while-expecting-pregnancy-discrimination-claims-more-common-low.

International Association of Firefighters (IAFF). (2012). Reproductive Hazards: IAFF Pregnancy Policy. Washington, DC: IAFF. Retrieved from http://www.iaff.org/hr/pdf/ReproductiveHealth/IAFF_Pregnancy_Policy.pdf.

Jahnke, S. A. (2015). Firefighter health research: Who’s next? FireRescue1. Retrieved from http://www.firerescue1.com/fire-chief/articles/38203018-Firefighter-health-research-Whos-next/.

Jahnke, S. A., Poston, W. S. C., Haddock, C. K., Jitnarin, N., Hyder, M. L., & Horvath, C. (2012). The health of women in the US fire service. BMC Women’s Health, 12, 39. https://doi.org/10.1186/1472-6874-12-39.CrossRefPubMedPubMedCentral

Kales, S. N., Soteriades, E. S., Christophi, C. A., & Christiani, D. C. (2007). Emergency duties and deaths from heart disease among firefighters in the United States. The New England Journal of Medicine, 356(12), 1207–1215. https://doi.org/10.1056/NEJMoa060357.CrossRefPubMed

LeMasters, G. K., Genaidy, A. M., Succop, P., Deddens, J., Sobeih, T., Barriera-Viruet, H., … Lockey, J. (2006). Cancer risk among firefighters: A review and meta-analysis of 32 studies. Journal of Occupational and Environmental Medicine / American College of Occupational and Environmental Medicine, 48(11), 1189–1202. https://doi.org/10.1097/01.jom.0000246229.68697.90.CrossRef

Mahoney, M. M. (2010). Shift work, Jet Lag, and female reproduction, shift work, jet lag, and female reproduction. International Journal of Endocrinology, International Journal of Endocrinology, 2010(2010), e813764. https://doi.org/10.1155/2010/813764.

March of Dimes. (2015). 2015 Premature birth report card. White Plains, NY: March of Dimes. Retrieved from http://www.marchofdimes.org/materials/premature-birth-report-card-united-states.pdf.

March of Dimes. (2016). Preterm labor and premature birth. Retrieved 26 January 2016, from http://www.marchofdimes.org/complications/preterm-labor-and-premature-birth.aspx.

McDiarmid, M. A., Lees, P. S., Agnew, J., Midzenski, M., & Duffy, R. (1991). Reproductive hazards of fire fighting II. Chemical hazards. American Journal of Industrial Medicine, 19(4), 447–472.CrossRefPubMed

Mills, M., Rindfuss, R. R., McDonald, P., & te Velde, E. & ESHRE Reproduction and Society Task Force. (2011). Why do people postpone parenthood? Reasons and social policy incentives. Human Reproduction Update, 17(6), 848–860. https://doi.org/10.1093/humupd/dmr026.CrossRefPubMedPubMedCentral

National Fallen Firefighters Foundation. (2011). Report of the 2nd National Fire Service Research Agenda Symposium. Emmitsburg, MD: National Fire Academy. Retrieved from http://www.everyonegoeshome.com/symposium/report2.pdf.

National Heart Lung and Blood Institute. (2000). Working group report on high blood pressure in pregnancy (No. 00-3029). Bethesda, MD. Retrieved from https://www.nhlbi.nih.gov/files/docs/guidelines/hbp_preg_archive.pdf.

Nilsson, S.F., Andersen, P., Strandberg-Larsen, K., & Nybo Andersen, A.-M. (2014). Risk factors for miscarriage from a prevention perspective: A nationwide follow-up study. BJOG: An International Journal of Obstetrics & Gynaecology, 121(11), 1375–1385. https://doi.org/10.1111/1471-0528.12694.CrossRef

Neyer, G., & Andersson, G. (2008). Consequences of family policies on childbearing behavior: Effects or artifacts? Population and Development Review, 34(4), 699–724.CrossRef

Nurminen, T. (1998). Shift work and reproductive health. Scandinavian Journal of Work, Environment & Health, 24(Suppl 3), 28–34.

Porter, M. L. (2002). Hyperbilirubinemia in the Term Newborn. American Family Physician, 65(4), 599–607.PubMed

Poston, W. S., Haddock, C. K., Jahnke, S. A., Jitnarin, N., & Day, R. S. (2013). An examination of the benefits of health promotion programs for the national fire service. BMC Public Health, 13(1), 805. https://doi.org/10.1186/1471-2458-13-805.CrossRefPubMedPubMedCentral

Poston, W. S. C., Haddock, C. K., Jahnke, S. A., Jitnarin, N., Tuley, B. C., & Kales, S. N. (2011). The prevalence of overweight, obesity, and substandard fitness in a population-based firefighter cohort. Journal of Occupational and Environmental Medicine / American College of Occupational and Environmental Medicine, 53(3), 266–273. https://doi.org/10.1097/JOM.0b013e31820af362.CrossRef

Puttonen, S., Härmä, M., & Hublin, C. (2010). Shift work and cardiovascular disease—Pathways from circadian stress to morbidity. Scandinavian Journal of Work, Environment & Health, 36(2), 96–108.CrossRef

Shadish, W. R., Cook, T. D., & Campbell, D. T. (2001). Experimental and quasi-experimental designs for generalized causal inference (2nd edn.). Boston, MA: Houghton Mifflin Company.

Slama, R., Bouyer, J., Windham, G., Fenster, L., Werwatz, A., & Swan, S. H. (2005). Influence of paternal age on the risk of spontaneous abortion. American Journal of Epidemiology, 161(9), 816–823. https://doi.org/10.1093/aje/kwi097.CrossRefPubMed

Soteriades, E. S., Smith, D. L., Tsismenakis, A. J., Baur, D. M., & Kales, S. N. (2011). Cardiovascular disease in US firefighters: A systematic review. Cardiology in Review, 19(4), 202–215. https://doi.org/10.1097/CRD.0b013e318215c105.CrossRefPubMed

United States Fire Administration. (2012). National fire department census quick facts. Emmitsburg, MD: United States Fire Administration. Retrieved from http://apps.usfa.fema.gov/census/summary.cfm#f.

US Department of Health and Human Services, Health Resources and Service Administration, Maternal and Child Health Bureau. (2011). Child health USA 2011: low birth weight. Rockville, MD: U.S. Department of Health and Human Services. Retrieved from http://mchb.hrsa.gov/chusa11/hstat/hsi/pages/201lbw.html.

Wong, E. Y., Ray, R. M., Gao, D.-L., Wernli, K. J., Li, W., Fitzgibbons, E. D., … Checkoway, H. (2009). Dust and chemical exposures, and miscarriage risk among women textile workers in Shanghai, China. Occupational and Environmental Medicine, 66(3), 161–168. https://doi.org/10.1136/oem.2008.039065.CrossRefPubMed

Title: Maternal and Child Health Among Female Firefighters in the U.S.
Authors: Sara A. Jahnke
Walker S. C. Poston
Nattinee Jitnarin
Christopher K. Haddock
Publication date: 01-06-2018
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 6/2018
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-018-2468-3

At a glance: The STEP trials

Springer Medicine

Maternal and Child Health Among Female Firefighters in the U.S.

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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