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PubMed · 6562267

The first trimester.

E C Bennett
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Abstract

Maternal and fetal events of the first trimester are examined with emphasis on the more common physiologic changes that occur. Suggestions are given for the management of nausea, breast tenderness, frequency of urination, and fatigue. Critical components of initial prenatal care are discussed and timing of subsequent visits recommended. The most common complications of early pregnancy, spontaneous abortion, and ectopic pregnancy are reviewed.

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Abortion, SpontaneousChorionic GonadotropinFemaleFetusGenitalia, FemaleHumansPregnancyPregnancy ComplicationsPregnancy TestsPregnancy Trimester, FirstPregnancy, EctopicPrenatal CareJournal Article

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E C Bennett. The first trimester.. https://pubmed.ncbi.nlm.nih.gov/6562267/

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Psychologic stress in the workplace and spontaneous abortion.

The relation of work-related psychologic stress to spontaneous abortion was examined in a prospective study of 3,953 pregnant, employed members of a prepaid health plan in California, recruited between 1990 and 1991. Information on occupation, psychologic stress-related factors at work, social support at work, physical exertion at work, life events, pregnancy worries, and potential confounders was obtained by a telephone interview. Psychologic job stress and social support at work were assessed using an abbreviated version of the instrument developed by Karasek and colleagues (Los Angeles: University of Southern California, 1986). Results from the multivariate model indicated that, overall, stressful work was not associated with an increased risk of spontaneous abortion. However, interactions were observed between stressful work and maternal age over 32 years (p = 0.04), cigarette smoking (p = 0.02), and primigravidity (p = 0.06). Relative to the odds ratio for stressful work in young, nonsmoking, multigravid women without a history of two or more spontaneous abortions, the odds ratios for spontaneous abortion given stressful work were higher by 2.45 (95% confidence interval (CI) 1.03-5.81) for older women, 2.96 (95% CI 1.16-7.52) for smokers, and 2.27 (95% CI 0.97-5.27) for primigravid women.

Abortion, Spontaneous↗