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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Pregnant women stress plays an important role in maternal and fetal conditions&#46; Moreover&#44; it is necessary to prevent the possible reactions that come from the stressors confronting pregnant women in their everyday life including their working situation&#46; Only if the possible factors relating to the stress level of pregnant working women are discovered&#44; then the possible strategies and methods can be derived against the effects of the stressors&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">1</span></a> Otherwise&#44; it is important to investigate the stress factors among working women with pregnancy from other socio-cultural backgrounds&#44; so that future research in this area can achieve a more holistic view of the phenomenon of pregnancy and work stress crossing the socio-economic aspects&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">WHO in 2019 calculated that the global Maternal Mortality Ratio &#40;MMR&#41; in 2017 is at 211 per 100<span class="elsevierStyleHsp" style=""></span>000 live births &#91;with uncertainty interval from 199 to 234&#41;&#46; In fact&#44; the MRR in East Asia and the Pacific in 2017 was 69 per 100<span class="elsevierStyleHsp" style=""></span>000 live births&#46; Despite that&#44; MMRs in each country could be different due to how people read the statistical data&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">3</span></a> For instance&#44; the MMR in Indonesia in 2017 was at 177 per 100<span class="elsevierStyleHsp" style=""></span>000 live births&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">4</span></a> If this circumstance was observed on the regional level&#44; then - for instance - Banten Province had MMR at 240 per 100<span class="elsevierStyleHsp" style=""></span>000 live births in 2016&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">5</span></a> The Public Health Office of Banten Province claimed&#44; that one of the reasons for the high MMR in Banten was the social economic issues&#46; Based on the Banten Province Statistics Agency in 2018&#44; around 2&#46;87 million people worked as laborers&#44; and 50&#46;7&#37; of them were women&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">5&#44;6</span></a> All those social economic adversities were the motivation and interest of this study to investigate the factors relating to work stress levels in pregnant working women&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Method</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Study design</span><p id="par0015" class="elsevierStylePara elsevierViewall">Cross sectional study design was used to prove the hypothesis of this study for investigating the assumed relation between perceived pregnancy-related work stress level as an outcome variable and the intrapersonal character of pregnant mother as well as the working conditions as an exposure variable&#46; Ninety two pregnant women working at an athletic and casual footwear manufacturer in Banten &#8211; Indonesia participated in this study&#46; Half of the participants worked less than 40<span class="elsevierStyleHsp" style=""></span>h per week and the other half worked 40<span class="elsevierStyleHsp" style=""></span>h or more per week&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Measurement</span><p id="par0020" class="elsevierStylePara elsevierViewall">Work stress was recorded through the questionnaire for work stress during pregnancy&#46; A valid and reliable test instrument to measure stress in pregnant women was developed and conducted in this study&#46; The participants were grouped regarding their score in the questionnaire for work stress during pregnancy&#44; namely&#58; low work stress level&#44; moderate stress work level&#44; and high work stress level&#46; Questions regarding risk age for pregnant&#44; gestational age&#44; workload level&#46; Every respondent could choose the right answer regarding the age &#40;&#8220;20&#8211;35 years old&#8221; or &#8220;&#8804;19 or &#8805;35 years old&#8221;&#41;&#44; the gestational age &#40;&#8220;&#8804;31 weeks&#8221; or &#8220;&#8805;31 weeks&#8221;&#41;&#46; The workload level was measured by questionnaire for workload and consisted of four questions&#46; The workload level was defined as a low workload and high workload&#46; The procedure in the questionnaire was that all participants filled out the informed consent&#46; Ethical research was obtained from the Faculty of Health Sciences&#44; Universitas Nasional&#44; Indonesia&#46; For ethical research&#44; the anonymity of participants was conducted for the protection and confidence of the data&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Statistical analysis</span><p id="par0025" class="elsevierStylePara elsevierViewall">A chi-square test was conducted to investigate the relations between age&#44; gestational age&#44; workload&#44; working hours&#44; and work stress&#46; For the inference statistic&#44; the &#945; level was set at below &#46;05&#46; The parameter used in this study was Yates&#39;s correction for continuity &#40;&#967;Yates2&#41; due to one degree of freedom from the sample and 2<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>2 cross table-related analysis plan&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">7</span></a> The odds ratio &#40;OR&#41; was provided in this research to forecast how big the risk was that the low work stress level in the relation to moderate work stress level experienced by pregnant working women regarding their intrapersonal characters and work conditions&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">8</span></a> All statistical analyses were performed with SPSS Version 23&#46;</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Results</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Characteristics of participants</span><p id="par0030" class="elsevierStylePara elsevierViewall">Data shows the characteristics and frequency of stress level&#44; risk age for pregnant&#44; gestational age&#44; workload&#44; and work hours of the participants &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Bivariate analysis</span><p id="par0035" class="elsevierStylePara elsevierViewall">Data for correlations between work stress level as a dependent factor with age risk for pregnant&#44; gestational age&#44; workload and work hours as independent factors show in <a class="elsevierStyleCrossRefs" href="#tbl0010">Tables 2&#8211;5</a>&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> showed the results of the chi-square test&#46; The analysis showed that the correlation between stress level and risk age for pregnant could not support the assumption of the relationship between risk age for pregnant and work stress level in pregnant working women &#40;&#967;Yates2&#8201;&#61;&#8201;&#46;78&#44; <span class="elsevierStyleItalic">df</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;38&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">The analysis result of the assumption of relationships between gestational age with work stress levels in pregnant women was significantly granted &#40;&#967;Yates2&#8201;&#61;&#8201;7&#46;88&#44; <span class="elsevierStyleItalic">df</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;01&#41;&#46; The further analysis showed the OR was 3&#46;83&#46; It meant that gestational age &#8804;31 weeks had 3&#46;83 times higher risk of being a moderate work stress level&#44; compared to pregnant women with a gestation of more than 31 weeks &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The analysis result of the assumption of relationships between workload and work stress levels in pregnant women &#40;&#967;Yates2&#8201;&#61;&#8201;5&#46;22&#44; <span class="elsevierStyleItalic">df</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;05&#41;&#46; The further analysis showed the OR was 2&#46;91&#46; It meant that pregnant women with high workload had 2&#46;91 times higher risk of being a moderate work stress level&#44; compared to pregnant women with low workload &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a>&#41;&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">The analysis result of the assumption of relationships between workload and work stress levels in pregnant women &#40;&#967;Yates2&#8201;&#61;&#8201;56&#46;37&#44; <span class="elsevierStyleItalic">df</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#41;&#46; The further analysis showed the OR was 86&#46;10&#46; It meant that pregnant women who worked for 40<span class="elsevierStyleHsp" style=""></span>h or more per week had 86&#46;10 times higher risk of being a moderate work stress level&#44; compared to pregnant women who worked for less than 40<span class="elsevierStyleHsp" style=""></span>h &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a>&#41;&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Discussion</span><p id="par0060" class="elsevierStylePara elsevierViewall">This study could not confirm the assumed association between age and work stress levels during pregnancy&#46; The postulates the lack of association between age and stress experienced by pregnant women&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">9</span></a> This finding may correspond with the meta-analytic finding from the report of the partly lack of relation between age and work-related stress&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">10</span></a> Although the study had not included the specified pregnant women&#44; there was an indication that age was associated with work stress by the moderation of gender&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">10</span></a> The average response to stress increased with the increased age&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">11</span></a> On the other side&#44; older workers perceived slightly more work stress than the younger once&#44; which this study showed the opposite&#46; However&#44; their study did not put pregnant women in the center of investigation&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">12</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Otherwise&#44; the finding in this study has been still leaving the question regarding the propositional reproductive age as postulated&#44; that age between 20 and 35 years old was the good and safe age interval to give birth&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">13</span></a> U-curve of pregnancy-related stress could be one of the reasons why age did not appear to have any association with the work stress&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">14</span></a> So&#44; the effect of age to stress development and pregnancy-related stress could not be differentiated during pregnancy&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Moreover&#44; the assumed correlation between gestational age and work stress level was supported in this study&#46; Increasing gestational age was associated with advancing pregnancy-related stress and anxiety&#46; Maternal prenatal stress developed along with U pattern&#44; in which the stress level of pregnant women high in the first trimester and became lower in the second trimester and reached a high level again in their third trimester&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">15</span></a> Consequently&#44; the risk of delivering a birth a small-for-gestational-age infant was in accordance with the increasing work stress found in pregnant women&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">16</span></a> A similar result informing the association between work stress and small-for-gestational-age&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">17</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">The assumed association between workload and work stress levels was granted in this study&#46; According to the effort-reward-imbalance &#40;ERI&#41; model&#44; &#8220;the lack of reciprocity between effort spent a reward received in work elicits sustained reactions in the autonomic nervous and endocrine systems&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">18</span></a> Workload in the term of ERI appeared to be associated with the perceived maternal prenatal work stress&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">The result showed that working hours correlated with work stress levels perceived by pregnant women significantly&#46; The OR was 86&#46;10&#46; It was very high compared to the OR results of other factors&#46; The length of working hours can influence the stress level of employees because working generally demands on cognitive&#44; emotional&#44; and physical resources&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">19</span></a> On the cognitive level&#44; working hours more than eight hours per day was associated with decreased attentiveness function&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">20</span></a> The alertness is reduced in relation to increasing working hours&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">21</span></a> Decreased attentiveness function and reduced alertness can not only reduce employee productivity but also was associated with an accident at work&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">22</span></a> Working in excessive periods could also reduce mental health like burnout<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">19</span></a> or depression&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">23</span></a> For the pregnant women the increased risk of cardiovascular diseases influenced by stress made by longtime working hours can be also very relevant to protect the maternal and fetal health&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">24</span></a></p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Conclusions</span><p id="par0085" class="elsevierStylePara elsevierViewall">Our result confirmed that gestational age&#44; workload&#44; and working hours are related to the work stress level of pregnant women significantly&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conflicts of interests</span><p id="par0090" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest&#46;</p></span></span>"
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          "identificador" => "xres1492584"
          "titulo" => "Abstract"
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          "titulo" => "Keywords"
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        2 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
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        3 => array:3 [
          "identificador" => "sec0010"
          "titulo" => "Method"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "Study design"
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            1 => array:2 [
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              "titulo" => "Measurement"
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            2 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Statistical analysis"
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        ]
        4 => array:3 [
          "identificador" => "sec0030"
          "titulo" => "Results"
          "secciones" => array:2 [
            0 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Characteristics of participants"
            ]
            1 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Bivariate analysis"
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        ]
        5 => array:2 [
          "identificador" => "sec0045"
          "titulo" => "Discussion"
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        6 => array:2 [
          "identificador" => "sec0050"
          "titulo" => "Conclusions"
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        7 => array:2 [
          "identificador" => "sec0055"
          "titulo" => "Conflicts of interests"
        ]
        8 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2020-08-24"
    "fechaAceptado" => "2020-12-04"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1355227"
          "palabras" => array:3 [
            0 => "Pregnant women"
            1 => "Work"
            2 => "Stress"
          ]
        ]
      ]
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      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To identify factors related to the stress levels among pregnant women in Indonesia&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The study was used cross sectional design&#46; The participants were 92 pregnant women who worked at a footwear manufacturer at Banten&#44; Indonesia&#46; Half of the participants worked less than 40<span class="elsevierStyleHsp" style=""></span>h per week and the other half worked 40<span class="elsevierStyleHsp" style=""></span>h or more per week&#46; A test instrument to measure stress in pregnant women was developed and conducted in this study&#46; Dependent and independent factors were analyzed by the chi-square test&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Our results showed that 59&#46;78&#37; of respondents had their gestational age was more than 31 weeks&#59; 53&#46;00&#37; of workers experienced moderate stress&#59; and as many 53&#46;26&#37; of respondents experienced a high workload&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Our conclusion confirmed gestational age&#44; workload&#44; and working time related with work stress level of pregnant women significantly&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Peer-review under responsibility of the scientific committee of the 1st International Conference on Safety and Public Health &#40;ICOS-PH 2020&#41;&#46; Full-text and the content of it is under responsibility of authors of the article&#46;</p>"
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Low&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">47&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#60;20&#59; &#62;35 years old&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>20&#8211;35 years old&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">54&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>&#8804;31 weeks&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">37&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Moderate&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">43&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>High&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">50&#46;00&nbsp;\t\t\t\t\t\t\n
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                  <table border="0" frame="\n
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                  \t\t\t\t  " colspan="4" align="center" valign="\n
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                  \t\t\t\t  " colspan="2" align="center" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">95&#37; CI</th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col">Below&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&#8211;35&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">53&#46;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">46&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="3" align="char" valign="\n
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                  \t\t\t\t">&#46;78</td><td class="td" title="\n
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                  \t\t\t\t  " rowspan="3" align="char" valign="\n
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                  \t\t\t\t">1</td><td class="td" title="\n
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                  \t\t\t\t  " rowspan="3" align="char" valign="\n
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                  \t\t\t\t  " rowspan="3" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;60</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="3" align="char" valign="\n
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                  \t\t\t\t">&#46;69</td><td class="td" title="\n
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                  \t\t\t\t  " rowspan="3" align="char" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">&#60;20 or &#62;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">57&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">38&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">92&nbsp;\t\t\t\t\t\t\n
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                  """
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          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Correlation between age and work stress level &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>92&#41;&#46;</p>"
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                  <table border="0" frame="\n
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                  \t\t\t\t  " align="center" valign="\n
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                  \t\t\t\t" scope="col">OR&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">95&#37; CI</th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t">&#62;31 weeks&nbsp;\t\t\t\t\t\t\n
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                  """
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                  """
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Psychological stress during pregnancy and stillbirth&#58; Prospective study"
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                          "etal" => false
                          "autores" => array:4 [
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                          ]
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                      "doi" => "10.1111/j.1471-0528.2008.01734.x"
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                        "tituloSerie" => "BJOG An Int J Obstet Gynaecol"
                        "fecha" => "2008"
                      ]
                    ]
                  ]
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              ]
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                      "titulo" => "Maternal stress during pregnancy and neurodevelopmental outcomes of children during the first 2 years of life"
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                          "etal" => true
                          "autores" => array:3 [
                            0 => "K&#46; Polanska"
                            1 => "A&#46; Krol"
                            2 => "D&#46; Merecz-Kot"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/jpc.13422"
                      "Revista" => array:2 [
                        "tituloSerie" => "J Paediatr Child Health"
                        "fecha" => "2017"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0135"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "So l&#252;gt man mit Statistik"
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "W&#46; Kr&#228;mer"
                          ]
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                      "Libro" => array:1 [
                        "fecha" => "2011"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Trends in Maternal Mortality&#58; 2000 to 2017 Estimates by WHO&#44; UNICEF&#44; UNFPA"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Organization W&#46;H&#46;"
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                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0145"
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                    0 => array:2 [
                      "titulo" => "PHO of B&#46; Profile Public Health Banten Province 2018&#46; Banten"
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                          "etal" => false
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              "identificador" => "bib0150"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Bank W&#46; Tingkat Partisipasi Angkatan Kerja Perempuan Indonesia Rendah Dibanding Negara ASEAN&#46;"
                ]
              ]
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            6 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "On the validity condition of the chi-squared test in 2<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>2 tables"
                      "autores" => array:1 [
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                          "autores" => array:4 [
                            0 => "A&#46; Mart&#237;n Andr&#233;s"
                            1 => "M&#46;J&#46; S&#225;nchez Quevedo"
                            2 => "J&#46;M&#46; Tapia Garc&#237;a"
                            3 => "A&#46; Silva-Mato"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/bf02595399"
                      "Revista" => array:2 [
                        "tituloSerie" => "Test"
                        "fecha" => "2005"
                      ]
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                ]
              ]
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              "identificador" => "bib0160"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Explaining odds ratios"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Szumilas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Can Acad Child Adolesc Psychiatry"
                        "fecha" => "2010"
                        "volumen" => "19"
                        "paginaInicial" => "227"
                        "paginaFinal" => "229"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20842279"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0165"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Emotional experiences during the three trimesters of pregnancy"
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                          "autores" => array:3 [
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                            2 => "I&#46; Lewin"
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                    0 => array:2 [
                      "doi" => "10.1002/1097-4679(199301)49"
                      "Revista" => array:2 [
                        "tituloSerie" => "J Clin Psychol"
                        "fecha" => "1993"
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0170"
              "etiqueta" => "10"
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                            2 => "M&#46; Thielgen"
                            3 => "G&#46; Hertel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1108/JMP-07-2013-0251"
                      "Revista" => array:2 [
                        "tituloSerie" => "J Manag Psychol"
                        "fecha" => "2013"
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0175"
              "etiqueta" => "11"
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                          "etal" => false
                          "autores" => array:4 [
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                            2 => "R&#46;S&#46; Stawski"
                            3 => "J&#46; Smyth"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1037/a0017925"
                      "Revista" => array:2 [
                        "tituloSerie" => "Psychol Aging"
                        "fecha" => "2009"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0180"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Age differences in the association between stressful work and sickness absence among full-time employed workers&#58; evidence from the German socio-economic panel"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; G&#246;tz"
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                            2 => "A&#46; M&#252;ller"
                            3 => "N&#46; Dragano"
                            4 => "M&#46; Wahrendorf"
                          ]
                        ]
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                    ]
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                    0 => array:2 [
                      "doi" => "10.1007/s00420-018-1298-3"
                      "Revista" => array:2 [
                        "tituloSerie" => "Int Arch Occup Environ Health"
                        "fecha" => "2018"
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0185"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Penyakit Kandungan &#38; Keluarga Berencana untuk Pendidikan Bidan"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
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                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "1998"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0190"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mood and somatic symptoms during pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Lubin"
                            1 => "S&#46;H&#46; Gardener"
                            2 => "A&#46; Roth"
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                        ]
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                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/00006842-197503000-00004"
                      "Revista" => array:2 [
                        "tituloSerie" => "Psychosom Med"
                        "fecha" => "1975"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The association between pregnancy-specific anxiety and preterm birth&#58; a cohort study"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Z&#46;B&#46; Khalesi"
                            1 => "M&#46; Bokaie"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4314/ahs.v18i3.14"
                      "Revista" => array:2 [
                        "tituloSerie" => "Afr Health Sci"
                        "fecha" => "2018"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Work activity in pregnancy&#44; preventive measures&#44; and the risk of delivering a small-for-gestational-age infant"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Croteau"
                            1 => "S&#46; Marcoux"
                            2 => "C&#46; Brisson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2105/AJPH.2004.058552"
                      "Revista" => array:2 [
                        "tituloSerie" => "Am J Public Health"
                        "fecha" => "2006"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The relation between psychosocial job strain&#44; and preterm delivery and low birthweight for gestational age"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46;B&#46; Henriksen"
                            1 => "M&#46; Hedegaard"
                            2 => "N&#46;J&#46; Secher"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/ije/23.4.764"
                      "Revista" => array:2 [
                        "tituloSerie" => "Int J Epidemiol"
                        "fecha" => "1994"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Longitudinal assessment of effort&#8211;reward imbalance and job strain across pregnancy&#58; a preliminary study"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
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                            3 => "N&#46; Warren"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s10995-016-1933-0"
                      "Revista" => array:2 [
                        "tituloSerie" => "Matern Child Health J"
                        "fecha" => "2016"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Psychische Gesundheit in der Arbeitswelt&#46; Atypische Arbeitszeiten"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
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                    ]
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                    0 => array:1 [
                      "Libro" => array:1 [
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                ]
              ]
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                    0 => array:2 [
                      "titulo" => "Correlates of work-study conflict among international students in Australia&#58; a multivariate analysis"
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                            3 => "P&#46; Rothmore"
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                      ]
                    ]
                  ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Updating the &#8220;Risk Index&#8221;&#58; a systematic review and meta-analysis of occupational injuries and work schedule characteristics"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
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                            2 => "S&#46; Folkard"
                            3 => "J&#46; Willetts"
                            4 => "D&#46;C&#46; Christiani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
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                      "Revista" => array:2 [
                        "tituloSerie" => "Chronobiol Int"
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                    ]
                  ]
                ]
              ]
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Vol. 35. Núm. S1.
The 1st International Conference on Safety and Public Health
Páginas S38-S41 (enero 2020)
Open Access
Pregnancy and work stress: investigation of factors relating stress level of pregnant working women in Indonesia
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Retno Widowatia,b,
Autor para correspondencia
, Rini Kundaryantib, Destia Ayuwan Julianb, Albiruni Raushanfikric
a Magister Biology Study Program, Graduate School of Universitas Nasional, Indonesia
b Midwifery Study Program, Faculty of Health Sciences, Universitas Nasional, Indonesia
c Faculty of Psychology, Ruhr University Bochum, Germany
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Tablas (5)
Table 1. Characteristic and frequencies (N=92).
Table 2. Correlation between age and work stress level (N=92).
Table 3. Correlation between gestational age and work stress level (N=92).
Table 4. Correlation between workload and work stress level (N=92).
Table 5. Correlation between working hours and work stress (N=92).
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Vol. 35. Núm S1

The 1st International Conference on Safety and Public Health

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Abstract
Objective

To identify factors related to the stress levels among pregnant women in Indonesia.

Method

The study was used cross sectional design. The participants were 92 pregnant women who worked at a footwear manufacturer at Banten, Indonesia. Half of the participants worked less than 40h per week and the other half worked 40h or more per week. A test instrument to measure stress in pregnant women was developed and conducted in this study. Dependent and independent factors were analyzed by the chi-square test.

Results

Our results showed that 59.78% of respondents had their gestational age was more than 31 weeks; 53.00% of workers experienced moderate stress; and as many 53.26% of respondents experienced a high workload.

Conclusions

Our conclusion confirmed gestational age, workload, and working time related with work stress level of pregnant women significantly.

Keywords:
Pregnant women
Work
Stress
Texto completo
Introduction

Pregnant women stress plays an important role in maternal and fetal conditions. Moreover, it is necessary to prevent the possible reactions that come from the stressors confronting pregnant women in their everyday life including their working situation. Only if the possible factors relating to the stress level of pregnant working women are discovered, then the possible strategies and methods can be derived against the effects of the stressors.1 Otherwise, it is important to investigate the stress factors among working women with pregnancy from other socio-cultural backgrounds, so that future research in this area can achieve a more holistic view of the phenomenon of pregnancy and work stress crossing the socio-economic aspects.2

WHO in 2019 calculated that the global Maternal Mortality Ratio (MMR) in 2017 is at 211 per 100000 live births [with uncertainty interval from 199 to 234). In fact, the MRR in East Asia and the Pacific in 2017 was 69 per 100000 live births. Despite that, MMRs in each country could be different due to how people read the statistical data.3 For instance, the MMR in Indonesia in 2017 was at 177 per 100000 live births.4 If this circumstance was observed on the regional level, then - for instance - Banten Province had MMR at 240 per 100000 live births in 2016.5 The Public Health Office of Banten Province claimed, that one of the reasons for the high MMR in Banten was the social economic issues. Based on the Banten Province Statistics Agency in 2018, around 2.87 million people worked as laborers, and 50.7% of them were women.5,6 All those social economic adversities were the motivation and interest of this study to investigate the factors relating to work stress levels in pregnant working women.

MethodStudy design

Cross sectional study design was used to prove the hypothesis of this study for investigating the assumed relation between perceived pregnancy-related work stress level as an outcome variable and the intrapersonal character of pregnant mother as well as the working conditions as an exposure variable. Ninety two pregnant women working at an athletic and casual footwear manufacturer in Banten – Indonesia participated in this study. Half of the participants worked less than 40h per week and the other half worked 40h or more per week.

Measurement

Work stress was recorded through the questionnaire for work stress during pregnancy. A valid and reliable test instrument to measure stress in pregnant women was developed and conducted in this study. The participants were grouped regarding their score in the questionnaire for work stress during pregnancy, namely: low work stress level, moderate stress work level, and high work stress level. Questions regarding risk age for pregnant, gestational age, workload level. Every respondent could choose the right answer regarding the age (“20–35 years old” or “≤19 or ≥35 years old”), the gestational age (“≤31 weeks” or “≥31 weeks”). The workload level was measured by questionnaire for workload and consisted of four questions. The workload level was defined as a low workload and high workload. The procedure in the questionnaire was that all participants filled out the informed consent. Ethical research was obtained from the Faculty of Health Sciences, Universitas Nasional, Indonesia. For ethical research, the anonymity of participants was conducted for the protection and confidence of the data.

Statistical analysis

A chi-square test was conducted to investigate the relations between age, gestational age, workload, working hours, and work stress. For the inference statistic, the α level was set at below .05. The parameter used in this study was Yates's correction for continuity (χYates2) due to one degree of freedom from the sample and 2×2 cross table-related analysis plan.7 The odds ratio (OR) was provided in this research to forecast how big the risk was that the low work stress level in the relation to moderate work stress level experienced by pregnant working women regarding their intrapersonal characters and work conditions.8 All statistical analyses were performed with SPSS Version 23.

ResultsCharacteristics of participants

Data shows the characteristics and frequency of stress level, risk age for pregnant, gestational age, workload, and work hours of the participants (Table 1).

Table 1.

Characteristic and frequencies (N=92).

Characteristics  n 
Stress level
Low  45  48.90 
Moderate  47  51.10 
Risk age for pregnant
<20; >35 years old  38  41.30 
20–35 years old  54  58.70 
Gestational age
≤31 weeks  55  59.78 
>31 weeks  37  40.22 
Workload
Moderate  43  46.73 
High  49  53.27 
Work hours
<4046  50.00 
≥4046  50.00 
Bivariate analysis

Data for correlations between work stress level as a dependent factor with age risk for pregnant, gestational age, workload and work hours as independent factors show in Tables 2–5.

Table 2.

Correlation between age and work stress level (N=92).

Age  Work stress levelTotal  χYates2  df  p Value  OR  95% CI
  LowModerate          Below  Upper 
  n  n               
20–35  29  53.7  25  46.3  54  .781.3771.60.693.68
<20 or >35  16  42.1  22  57.9  38 
Total  45  48.9  47  51.1  92 

OR: odds ratio; CI: confidence interval.

Table 3.

Correlation between gestational age and work stress level (N=92).

Gestational age  Work stress levelTotal  χYates2  df  p Value  OR  95% CI
  LowModerate          Below  Upper 
  n  n               
>31 weeks  34  61.8  21  38.2  55  7.881.0053.831.579.32
≤31 weeks  11  29.7  26  70.3  37 
Total  45  48.9  47  51.1  92 

OR: odds ratio; CI: confidence interval.

Table 4.

Correlation between workload and work stress level (N=92).

Workload  Work stress levelTotal  χYates2  df  p Value  OR  95% CI
  LowModerate          Below  Upper 
  n  n               
Low  27  62.8  16  37.2  43  5.221.0222.911.246.79
High  18  36.7  31  63.3  49 
Total  45  48.9  47  51.1  92 

OR: odds ratio; CI: confidence interval.

Table 5.

Correlation between working hours and work stress (N=92).

Working hours  Work stress levelTotal  χYates2  df  p value  OR  95% CI
  LowModerate          Below  Upper 
  n  n               
<40h/week  41  89.1  10.9  46  56.371.00086.1021.59343.41
≥40h/week  8.7  42  91.3  46 
Total  45  48.9  47  51.1  92 

OR: odds ratio; CI: confidence interval.

Table 2 showed the results of the chi-square test. The analysis showed that the correlation between stress level and risk age for pregnant could not support the assumption of the relationship between risk age for pregnant and work stress level in pregnant working women (χYates2 = .78, df=1, p=.38).

The analysis result of the assumption of relationships between gestational age with work stress levels in pregnant women was significantly granted (χYates2 = 7.88, df=1, p<.01). The further analysis showed the OR was 3.83. It meant that gestational age ≤31 weeks had 3.83 times higher risk of being a moderate work stress level, compared to pregnant women with a gestation of more than 31 weeks (Table 3).

The analysis result of the assumption of relationships between workload and work stress levels in pregnant women (χYates2 = 5.22, df=1, p<.05). The further analysis showed the OR was 2.91. It meant that pregnant women with high workload had 2.91 times higher risk of being a moderate work stress level, compared to pregnant women with low workload (Table 4).

The analysis result of the assumption of relationships between workload and work stress levels in pregnant women (χYates2 = 56.37, df=1, p<.001). The further analysis showed the OR was 86.10. It meant that pregnant women who worked for 40h or more per week had 86.10 times higher risk of being a moderate work stress level, compared to pregnant women who worked for less than 40h (Table 5).

Discussion

This study could not confirm the assumed association between age and work stress levels during pregnancy. The postulates the lack of association between age and stress experienced by pregnant women.9 This finding may correspond with the meta-analytic finding from the report of the partly lack of relation between age and work-related stress.10 Although the study had not included the specified pregnant women, there was an indication that age was associated with work stress by the moderation of gender.10 The average response to stress increased with the increased age.11 On the other side, older workers perceived slightly more work stress than the younger once, which this study showed the opposite. However, their study did not put pregnant women in the center of investigation.12

Otherwise, the finding in this study has been still leaving the question regarding the propositional reproductive age as postulated, that age between 20 and 35 years old was the good and safe age interval to give birth.13 U-curve of pregnancy-related stress could be one of the reasons why age did not appear to have any association with the work stress.14 So, the effect of age to stress development and pregnancy-related stress could not be differentiated during pregnancy.

Moreover, the assumed correlation between gestational age and work stress level was supported in this study. Increasing gestational age was associated with advancing pregnancy-related stress and anxiety. Maternal prenatal stress developed along with U pattern, in which the stress level of pregnant women high in the first trimester and became lower in the second trimester and reached a high level again in their third trimester.15 Consequently, the risk of delivering a birth a small-for-gestational-age infant was in accordance with the increasing work stress found in pregnant women.16 A similar result informing the association between work stress and small-for-gestational-age.17

The assumed association between workload and work stress levels was granted in this study. According to the effort-reward-imbalance (ERI) model, “the lack of reciprocity between effort spent a reward received in work elicits sustained reactions in the autonomic nervous and endocrine systems”.18 Workload in the term of ERI appeared to be associated with the perceived maternal prenatal work stress.

The result showed that working hours correlated with work stress levels perceived by pregnant women significantly. The OR was 86.10. It was very high compared to the OR results of other factors. The length of working hours can influence the stress level of employees because working generally demands on cognitive, emotional, and physical resources.19 On the cognitive level, working hours more than eight hours per day was associated with decreased attentiveness function.20 The alertness is reduced in relation to increasing working hours.21 Decreased attentiveness function and reduced alertness can not only reduce employee productivity but also was associated with an accident at work.22 Working in excessive periods could also reduce mental health like burnout19 or depression.23 For the pregnant women the increased risk of cardiovascular diseases influenced by stress made by longtime working hours can be also very relevant to protect the maternal and fetal health.24

Conclusions

Our result confirmed that gestational age, workload, and working hours are related to the work stress level of pregnant women significantly.

Conflicts of interests

The authors declare that they have no conflict of interest.

References
[1]
K. Wisborg, A. Barklin, M. Hedegaard, T.B. Henriksen.
Psychological stress during pregnancy and stillbirth: Prospective study.
BJOG An Int J Obstet Gynaecol, (2008),
[2]
K. Polanska, A. Krol, D. Merecz-Kot, et al.
Maternal stress during pregnancy and neurodevelopmental outcomes of children during the first 2 years of life.
J Paediatr Child Health, (2017),
[3]
W. Krämer.
So lügt man mit Statistik.
(2011),
[4]
Organization W.H..
Trends in Maternal Mortality: 2000 to 2017 Estimates by WHO, UNICEF, UNFPA.
World Bank Group and the United Nations Population Division, World Health Organization, (2019),
[5]
Province.
PHO of B. Profile Public Health Banten Province 2018. Banten.
(2019),
[6]
Bank W. Tingkat Partisipasi Angkatan Kerja Perempuan Indonesia Rendah Dibanding Negara ASEAN.
[7]
A. Martín Andrés, M.J. Sánchez Quevedo, J.M. Tapia García, A. Silva-Mato.
On the validity condition of the chi-squared test in 2×2 tables.
[8]
M. Szumilas.
Explaining odds ratios.
J Can Acad Child Adolesc Psychiatry, 19 (2010), pp. 227-229
[9]
Y. Rofé, M.B. Littner, I. Lewin.
Emotional experiences during the three trimesters of pregnancy.
[10]
C. Rauschenbach, S. Krumm, M. Thielgen, G. Hertel.
Age and work-related stress: a review and meta-analysis.
[11]
M.J. Sliwinski, D.M. Almeida, R.S. Stawski, J. Smyth.
Intraindividual change and variability in daily stress processes: findings from two measurement-burst diary studies.
Psychol Aging, (2009),
[12]
S. Götz, H. Hoven, A. Müller, N. Dragano, M. Wahrendorf.
Age differences in the association between stressful work and sickness absence among full-time employed workers: evidence from the German socio-economic panel.
Int Arch Occup Environ Health, (2018),
[13]
Prof. dr. Ida Bagus Gde Manuaba D. Ilmu Kebidanan.
Penyakit Kandungan & Keluarga Berencana untuk Pendidikan Bidan.
(1998),
[14]
B. Lubin, S.H. Gardener, A. Roth.
Mood and somatic symptoms during pregnancy.
[15]
Z.B. Khalesi, M. Bokaie.
The association between pregnancy-specific anxiety and preterm birth: a cohort study.
[16]
A. Croteau, S. Marcoux, C. Brisson.
Work activity in pregnancy, preventive measures, and the risk of delivering a small-for-gestational-age infant.
Am J Public Health, (2006),
[17]
T.B. Henriksen, M. Hedegaard, N.J. Secher.
The relation between psychosocial job strain, and preterm delivery and low birthweight for gestational age.
[18]
J.D. Meyer, C. Muntaner, P. O’Campo, N. Warren.
Longitudinal assessment of effort–reward imbalance and job strain across pregnancy: a preliminary study.
Matern Child Health J, (2016),
[19]
M. Amlinger-Chatterjee.
Psychische Gesundheit in der Arbeitswelt. Atypische Arbeitszeiten.
(2016),
[20]
Y. Thamrin, D. Pisaniello, C. Guerin, P. Rothmore.
Correlates of work-study conflict among international students in Australia: a multivariate analysis.
Int J Environ Res Public Health, 16 (2019), pp. 2695
[21]
D. Fischer, D.A. Lombardi, S. Folkard, J. Willetts, D.C. Christiani.
Updating the “Risk Index”: a systematic review and meta-analysis of occupational injuries and work schedule characteristics.
[22]
P. Tucker, S. Folkard.
Working time, health and safety: a research synthesis paper.
(2012),
[23]
R. Ogawa, E. Seo, T. Maeno, M. Ito, M. Sanuki, T. Maeno.
The relationship between long working hours and depression among first-year residents in Japan.
[24]
M. Kivimäki, I. Kawachi.
Work stress as a risk factor for cardiovascular disease.

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