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Med. Pr. 2007;58(1):7-12

DETERMINANTS OF THE LOCOMOTOR SYSTEM LOAD AND THEIR HEALTH EFFECTS AMONG MIDWIVES

UWARUNKOWANIA OBCIĄŻEŃ UKŁADU RUCHU I ICH KONSEKWENCJE ZDROWOTNE W WYBRANEJ POPULACJI POŁOŻNYCH

Bartosz Bilski, Wiesława Kandefer

Abstract

Background. This paper presents an analysis of current knowledge of ergonomic weight lifting, work conditions and their health effects on the locomotor system in the selected group of midwives employed in hospitals. Material and Methods. The analysis was carried out in a population of 107 midwives, aged 25ś57 years. The 36ś45 age group was most representative (57%). In the study, a questionnaire was used to solicit information on work conditions, knowledge, and locomotor system complaints. Results and Conclusions. Knowledge of ergonomic work with patients is very limited among midwives. The ergonomic equipment in departments and rooms, where the analyzed population worked was inadequate. For 85% of midwives the average weight of patients during lifting/carrying exceeded Polish norms (20 kg). Statistically, complaints concerning the LśS back bone were reported most frequently. The authors found a statistically significant relationship between musculoskeletal complaints (LśS back bone in particular) and work in the forced position. In 25 (44%) midwives who assisted in deliveries in vertical position or in water, significant musculoskeletal complaints during or after a large number of deliveries were noted. Over half (64%) of the study group reportedmusculoskeletal complaints at least once a month and for 38% of midwives back pain is a constant problem (pains at least once a week). Everyday complaints are noted in 5%; 3ś5 times per week in 14%, and 1ś2 time per week in 19% of midwives. In view of the above data, an analysis of ergonomic conditions of midwivesś employment and their improvement is warranted. Med Pr 2007;58(1):7ś12

Key words

midwives, back pain, ergonomy