OTHER / RESEARCH PAPER
Pre-nosological monitoring of the health statuses of female obstetrician-gynecologists
1
Department of General Hygiene and Ecology, Grodno State Medical University, Belarus
2
Department of Microbiology, Virology and Immunology named after S.I. Gelberg, Grodno State Medical University, Belarus
3
Centralized Cytological Laboratory, Grodno Regional Clinical Hospital, Belarus
Submission date: 2018-08-28
Final revision date: 2019-09-07
Acceptance date: 2019-09-23
Publication date: 2019-10-17
Health Prob Civil. 2019;13(4):316-322
KEYWORDS
TOPICS
ABSTRACT
Background:
Female obstetrician-gynecologists of reproductive age provide medical care in harmful working conditions creating health risks for themselves.
Material and methods:
Female obstetrician-gynecologists working in hospitals (n=32) and antenatal clinics (n=32), therapists of outpatient clinics (n=31) and women working in the positions of accountants, economists, lawyers and secretaries (n=31) in the healthcare organizations of the Grodno region participated in this research. Working conditions were assessed by studying the results of the workplaces’ certification. Pre-nosological monitoring was conducted using the following methods: cytomorphological testing of buccal epithelium, microbiological testing of the oral biocenosis and psychological testing.
Results:
We established that the studied female obstetrician-gynecologists work in harmful conditions (hazard classes 3.2-3.3). It was associated with functional changes in their bodies: 23.3% of them had deviations in cytomorphological parameters of buccal epithelium; 59.3% had excessive amounts of E. coli group bacteria in their oral cavity and already formed phases of the occupational burnout syndrome.
Conclusions:
The selected set of methods for pre-nosological monitoring permit analysis of the impact of different occupational factors and the formation of target risk groups for the implementation of measures improving adaptive reserves.
Female obstetrician-gynecologists of reproductive age provide medical care in harmful working conditions creating health risks for themselves.
Material and methods:
Female obstetrician-gynecologists working in hospitals (n=32) and antenatal clinics (n=32), therapists of outpatient clinics (n=31) and women working in the positions of accountants, economists, lawyers and secretaries (n=31) in the healthcare organizations of the Grodno region participated in this research. Working conditions were assessed by studying the results of the workplaces’ certification. Pre-nosological monitoring was conducted using the following methods: cytomorphological testing of buccal epithelium, microbiological testing of the oral biocenosis and psychological testing.
Results:
We established that the studied female obstetrician-gynecologists work in harmful conditions (hazard classes 3.2-3.3). It was associated with functional changes in their bodies: 23.3% of them had deviations in cytomorphological parameters of buccal epithelium; 59.3% had excessive amounts of E. coli group bacteria in their oral cavity and already formed phases of the occupational burnout syndrome.
Conclusions:
The selected set of methods for pre-nosological monitoring permit analysis of the impact of different occupational factors and the formation of target risk groups for the implementation of measures improving adaptive reserves.
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| eISSN: | 2354-0265 |
| ISSN: | 2353-6942 |
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