Document Detail

Utilization of pay-in antenatal leave among working women in Southern California.
MedLine Citation:
PMID:  16498528     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Examine antenatal leave arrangements among pregnant workers in California, and the occupational, demographic and well-being characteristics associated with leave taking. Unlike most states, California provides paid pregnancy leave up to 4 weeks antenatally and 6-8 weeks postnatally. METHODS: Weighted data from postpartum telephone interviews conducted between July 2002 and November 2003 were analyzed for 1214 women participating in a case-control study of birth outcomes in Southern California. Eligible women worked at least 20 h/week during the first two trimesters of pregnancy or through the date of prenatal screening. The overall response rate was 73%. RESULTS: Fifty-two percent of women took no leave, 32% took antenatal leave expecting to return to their job or employer sometime after giving birth, and 9% quit their jobs during pregnancy. For leave-takers with paid leave (69%), the state was the main source of pay (74%). Medical problems (52%) rather than maternity leave benefits (25%) were the most common stated reasons for taking leave. The strongest predictors of leave taking versus working through pregnancy were feeling stressed and tired (adjusted OR = 4.3, 95% CI [2.2-8.2]) and having young children (adjusted OR = 2.1, 95% CI [1.2-3.7]), followed by occupational factors (night shift, unfulfilling and inflexible work, short work tenure). Lack of employer-offered maternity leave benefits was associated with increased quitting relative to both leave taking and working through pregnancy. CONCLUSIONS: Maternity benefits influence quitting, but alone do not determine antenatal leave taking. Working pregnant women in California utilize leave cautiously and predominantly to cope with health problems, work dissatisfaction and fatigue.
Sylvia Guendelman; Michelle Pearl; Steve Graham; Veronica Angulo; Martin Kharrazi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Maternal and child health journal     Volume:  10     ISSN:  1092-7875     ISO Abbreviation:  Matern Child Health J     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-03-23     Completed Date:  2006-11-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  63-73     Citation Subset:  IM    
Maternal and Child Health Program, School of Public Health, University of California, Berkeley, California 94720, USA.
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MeSH Terms
Case-Control Studies
Employment / psychology,  statistics & numerical data*
Fatigue / epidemiology
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Logistic Models
Organizational Policy
Parental Leave / utilization*
Pregnant Women / psychology*
Prenatal Care
Risk Assessment
Risk Factors
Stress, Psychological / epidemiology
Time Factors
Women, Working / psychology,  statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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