Knowledge of the benefits for risks during pregnancy and breastfeeding of the pregnant worker user of a sexual and reproductive health care practice
Abstract
Introduction. Female working life includes childbearing age and occasional pregnancy. The physiological changes in the maternal body require personalised adjustments to working conditions and the implementation of necessary preventive measures. If this is not possible, in Spain, an employment contract can be suspended due to pregnancy or breastfeeding-related risks, allowing access to a financial benefit aimed at covering the resulting loss of income. Objective: To determine the level of awareness of this benefit among pregnant working women attending a sexual and reproductive health (ASSIR) practice in the Garrigues region, Lleida.
Methods. A descriptive study conducted between January 2023 and January 2024 among adult pregnant workers attending the ASSIR practice.
Results. 53 pregnant women participated. Socio-demographic data indicate that 79.2% were born in Spain, median age of 31.8 years, 54.7% had a university degree. The most common occupations were teachers and administrative workers dealing with the public. Among the participants, 73.6% had a permanent contract, 92.5% worked more than five hours per day and 47.2% worked in a small business. Regarding the study variables 83% of participants described job tasks that, according to occupational health specialists, were compatible with receiving the benefit. The only statistically significant, albeit weak, independent variable was company size (OR 3.59 [0.95-13.5]).
Conclusions- There is a significant lack of awareness regarding this financial benefit. It is essential to develop strategies and initiatives to inform and educate the communities involved, aiming to improve health, well-being, and the quality of life for future pregnant workers and/or working mothers.
References
2- Solé Gómez, Mª D. "Protección y promoción de la salud reproductiva: funciones del personal sanitario del servicio de prevención”." Nota técnica de prevención 612.
3- Seg-Social [Internet]. Madrid: Ministerio de Inclusión, Seguridad Social y Migraciones. Seguridad Social; 2022. Benefit for risk during pregnancy; [cited 2022 Nov 18]. Available from : https://www.seg-social.es/wps/portal/wss/internet/InformacionUtil/44539/44765
4- Real Decreto 295/2009, de 6 de marzo, por el que se regulan las prestaciones económicas del sistema de la Seguridad Social por maternidad, paternidad, riesgo durante el embarazo y riesgo durante la lactancia natural. BOE N.º69, de 21 de marzo de 2009
5- CatSalut. gencat [Internet]. Barcelona: Catalan Health Service. Generalitat de Catalunya; 2024. The health regions; [cited 2024 Apr 26]. Available from: https://catsalut.gencat.cat/ca/coneix-catsalut/catsalut-territori/regions-sanitaries#l-area-basica-de-salut
6- CatSalut. gencat [Internet]. Barcelona: Catalan Health Service. Generalitat de Catalunya; 2024. Primary and community care; [cited 2024 Apr 26]. Available from: https://catsalut.gencat.cat/ca/serveis-sanitaris/atencio-primaria-comunitaria/
7- Real Decreto 39/1997, de 17 de enero, por el que se aprueba el Reglamento de los Servicios de Prevención. BOE N.º27, de 31 de enero de 1997
8- AMAT[Internet]. Madrid: Asociación de Mútuas de Accidentes de Trabajo; 2024. Qué son las mutuas; [cited 2024 Apr 26]. Available from: https://www.amat.es/que-son-las-mutuas/
9- Seg-Social [Internet]. Madrid: Ministerio de Inclusión, Seguridad Social y Migraciones. Seguridad Social; 2024. Benefit for Risk During Pregnancy
[cited 2024 Dec 7]. Available from: https://www.seg-social.es/wps/portal/wss/internet/InformacionUtil/44539/44765?changeLanguage=en
10- INE [Internet]. Madrid: Instituto Nacional de Estadística. Gobierno de España; 2022. Clasificación Nacional de Actividades Económicas (CNAE-2009); [cited 2022 Nov 25]. Available from:
https://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736177032&menu=ultiDatos&idp=1254735976614
11- Seg-Social [Internet]. Madrid: Ministerio de Inclusión, Seguridad Social y Migraciones. Seguridad Social; 2022. Tabla de Ocupación C.N.O.; [cited 2022 Nov 25]. Available from: https://www.seg-social.es/wps/wcm/connect/wss/43c07033-9bc6-43e0-acca-fea462663adf/T90-TABLA+DE+OCUPACI%C3%93N+C.N.O.+.pdf?MOD=AJPERES
12- Salutpublica [Internet]. Barcelona: Generalitat de Catalunya. Departament de Salut. Agència de Salut Pública de Catalunya; 2018. Protocol de seguiment de l’embaràs a Catalunya. 3a edició; [cited 2022 Nov 25]. Available from: https://salutpublica.gencat.cat/web/.content/minisite/aspcat/promocio_salut/embaras_part_puerperi/protocol_seguiment_embaras/protocol-seguiment-embaras-2018.pdf
13- Martin-Fumadó, Carles, et al. "La incapacidad temporal y sus implicaciones legales." Medicina Clínica 142 (2014): 37-42.
14- Ley 31/1995, de 8 de noviembre, de Prevención de Riesgos Laborales. BOE N.º269, de 10 de novembre de 1995
15-Seg-social [Internet]. Madrid: Ministerio de Inclusión, Seguridad Social y Migraciones. Seguridad Social; 2022. Guía de ayuda para la valoración del riesgo laboral durante el embarazo; [cited 2022 Nov 25]. Available from: https://www.seg-social.es/wps/wcm/connect/wss/e91e61c5-7559-4ce9-9440-a4bfe80e1df2/RIESGO+EMBARAZO_on-line.pdf?MOD=AJPERES&CVID
16- INE [Internet]. Madrid: Instituto Nacional de Estadística. Gobierno de España; 2022. Tasas de actividad, paro y empleo por provincia y sexo; [cited 2022 Nov 17]. Available from: https://www.ine.es/jaxiT3/Datos.htm?t=3996
17- IDESCAT[Internet]. Barcelona: Institut d’Estadística de Catalunya. Generalitat de Catalunya; 2022 . Taxa bruta de natalitat. Comarques i Aran, àmbits i províncies. [cited 2022 Dec 05]. Available from: https://www.idescat.cat/indicadors/?id=aec&n=15242 i https://www.idescat.cat/indicadors/?id=aec&n=15224