Occupational hazards for pregnant or lactating women in the orthopaedic operating room

Journal of the American Academy of Orthopaedic Surgeons

Volumn 22, Issue 5, 2014, Pages 326-332

  Downes, Jessica ^a   Rauk, Philip N ^a   Vanheest, Ann E ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

INHALATION ANESTHETIC AGENT; METHACRYLIC ACID METHYL ESTER;

BLOODBORNE BACTERIUM; FEMALE; HUMAN; IONIZING RADIATION; LACTATION; OCCUPATIONAL EXPOSURE; OPERATING ROOM; ORTHOPEDICS; PHYSIOLOGICAL STRESS; PREGNANCY; PREGNANT WOMAN; REVIEW;

ANESTHETICS, INHALATION; BLOOD-BORNE PATHOGENS; FEMALE; HUMANS; LACTATION; METHYLMETHACRYLATE; OCCUPATIONAL EXPOSURE; OPERATING ROOMS; ORTHOPEDICS; PREGNANCY; PREGNANT WOMEN; RADIATION, IONIZING; STRESS, PHYSIOLOGICAL;

EID: 84900394026     PISSN: 1067151X     EISSN: None     Source Type: Journal    
DOI: 10.5435/JAAOS-22-05-326     Document Type: Review

References (48)

1. American Academy of Physician Assistants:Physician Assistant Census Report: Resultsfrom the 2010 AAPA census. https://www.aapa.org/uploadedFiles/ content/Common/Files/2010-Census-Report-Final.pdf.Accessed March 3, 2014.
2. Association of American Medical Colleges:AAMC Data Book: Statistical InformationRelated to Medical Schools and TeachingHospitals. Washington, DC, Association ofAmerican Medical Colleges, 1998.
3. Van Heest AE, Agel J: The unevendistribution of women in orthopaedicsurgery resident training programs in theUnited States. J Bone Joint Surg Am 2012;94(2):e9.
4. Wong KC, Leung KS: Transmission andprevention of occupational infections inorthopaedic surgeons. J Bone Joint SurgAm 2004;86(5):1065-1076. (Pubitemid 38619812)
5. Gerberding JL: Incidence and prevalence ofhuman immunodeficiency virus, hepatitis Bvirus, hepatitis C virus, andcytomegalovirus among health carepersonnel at risk for blood exposure: Finalreport from a longitudinal study. J InfectDis 1994;170(6):1410-1417.
6. Quebbeman EJ, Telford GL, Hubbard S,et al: Risk of blood contamination andinjury to operating room personnel. AnnSurg 1991;214(5):614-620.
7. Tanner J, Parkinson H: Double gloving toreduce surgical cross-infection. CochraneDatabase Syst Rev 2006;3:CD003087.
8. Seeff LB, Wright EC, Zimmerman HJ, et al:Type B hepatitis after needle-stick exposure:Prevention with hepatitis B immuneglobulin. Final report of the VeteransAdministration Copperative Study. AnnIntern Med 1978;88(3):285-293. (Pubitemid 8287458)
9. Alter HJ, Seeff LB, Kaplan PM, et al: Type Bhepatitis: The infectivity of blood positivefor e antigen and DNA polymerase afteraccidental needlestick exposure. N Engl JMed 1976;295(17):909-913.
10. Centers for Disease Control andPrevention: Recommendations forprevention and control of hepatitis C virus(HCV) infection and HCV-related chronicdisease. MMWR Recomm Rep 1998;47(RR-19):1-39.
11. Sartori M, La Terra G, Aglietta M,Manzin A, Navino C, Verzetti G:Transmission of hepatitis C via bloodsplash into conjunctiva. Scand J Infect Dis1993;25(2):270-271. (Pubitemid 23149020)
12. Ippolito G, Puro V, Petrosillo N, DeCarli G, Micheloni G, Magliano E:Simultaneous infection with HIV andhepatitis C virus following occupationalconjunctival blood exposure. JAMA 1998;280(1):28. (Pubitemid 28414987)
13. Johnson A, Ross B: Prenatal infections, inFortner K, Szymanski L, Fox H, Wallach E,eds: The Johns Hopkins Manual ofGynecology and Obstetrics, ed 3.Philadelphia, PA, Lippincott Williams &Wilkins, 2007, pp 47-54.
14. Keene RR, Hillard-Sembell DC,Robinson BS, Novicoff WM, Saleh KJ:Occupational hazards to the pregnantorthopaedic surgeon. J Bone Joint Surg Am2011;93(23):e1411-e1415.
15. Kuhar DT, Henderson DK, Struble KA,et al; US Public Health Service WorkingGroup: Updated US Public Health Serviceguidelines for the management ofoccupational exposures to humanimmunodeficiency virus andrecommendations for postexposureprophylaxis. Infect Control HospEpidemiol 2013;34(9):875-892.
16. Cunningham FG, Leveno KJ, Bloom SL,et al: Sexually transmitted diseases, inCunningham FG, Leveno KJ, Bloom SL,Hauth JC, Rouse DJ, Spong Y, eds:Williams Obstetrics, ed 23. New York, NY,McGraw-Hill Companies, 2010, pp1235-1258.
17. Mofenson LM, Lambert JS, Stiehm ER,et al: Risk factors for perinataltransmission of human immunodeficiencyvirus type 1 in women treated withzidovudine: Pediatric AIDS Clinical TrialsGroup Study 185 Team. N Engl J Med1999;341(6):385-393. (Pubitemid 29362511)
18. Occupational Safety and HealthAdministration: Anesthetic gases:Guidelines for workplace exposures.https://www.osha.gov/dts/osta/anestheticgases/index. html. AccessedFebruary 17, 2014.
19. American Society of Anesthesiologists: Wasteanesthetic gases: Information for managementin anesthetizing areas and the postanesthesiacare unit (PACU). http://ftp.asahq.org/p-138-waste-anesthetic-gases-information-formanagement-in- anesthetizing-areas-and-thepostanesthesia-care-unit-pacu.aspx. AccessedMarch 3, 2014.
20. McGregor DG: Occupational exposure totrace concentrations of waste anestheticgases. Mayo Clin Proc 2000;75(3):273-277.
21. Buring JE, Hennekens CH, Mayrent SL,Rosner B, Greenberg ER, Colton T: Healthexperiences of operating room personnel.Anesthesiology 1985;62(3):325-330.
22. Tannenbaum TN, Goldberg RJ: Exposureto anesthetic gases and reproductiveoutcome: A review of the epidemiologicliterature. J Occup Med 1985;27(9):659-668. (Pubitemid 15239443)
23. Axelsson G, Rylander R: Exposure toanaesthetic gases and spontaneousabortion: Response bias in a postalquestionnaire study. Int J Epidemiol 1982;11(3):250-256. (Pubitemid 12019148)
24. Maran NJ, Knill-Jones RP, Spence AA:Infertility among female hospital doctors.Brit J Anaesth 1996;76:581.
25. US Environmental Protection Agency:Toxicological review of methyl methacrylate:In support of summary information on theIntegrated Risk Information System (IRIS).http://cfpub.epa.gov/ncea/iris/index.cfm?fuseaction=iris. showKeywordResults&maxrows=15&startrow=1&textfield= methyl1methacrylate&x=13&y=14&searchtype=irisdata. Accessed February 13,2014.
26. Solomon HM, McLaughlin JE,Swenson RE, et al: Methyl methacrylate: Inhalation developmental toxicity study inrats. Teratology 1993;48(2):115-125. (Pubitemid 23233588)
27. McLaughlin RE, Reger SI, Barkalow JA,Allen MS, Dafazio CA:Methylmethacrylate: A study ofteratogenicity and fetal toxocity of thevapor in the mouse. J Bone Joint Surg Am1978;60(3):355-358. (Pubitemid 8333076)
28. Singh AR, Lawrence WH, Autian J:Embryonic-fetal toxicity and teratogeniceffects of a group of methacrylate esters inrats. J Dent Res 1972;51(6):1632-1638.
29. Nicholas CA, Lawrence WH, Autian J:Embryotoxicity and fetotoxicity frommaternal inhalation of methyl methacrylatemonomer in rats. Toxicol Appl Pharmacol1979;50(3):451-458. (Pubitemid 10193909)
30. Darre E, Jørgensen LG, Vedel P, Jensen JS:Breathing zone concentrations ofmethylmethacrylate monomer during jointreplacement operations. PharmacolToxicol 1992;71(3 Pt 1):198-200.
31. Schlegel UJ, Sturm M, Ewerbeck V,Breusch SJ: Efficacy of vacuum bonecement mixing systems in reducingmethylmethacrylate fume exposure:Comparison of 7 different mixing devicesand handmixing. Acta Orthop Scand 2004;75(5):559-566. (Pubitemid 39425279)
32. LinehanCM, Gioe TJ: Serumand breastmilklevels of methylmethacrylate followingsurgeon exposure during arthroplasty.J BoneJoint Surg Am 2006;88(9):1957-1961. (Pubitemid 44352741)
33. Lereim P, Rö J: Physical work performed bysurgeons during orthopaedic operations.Acta Orthop Scand 1975;46(1):31-37.
34. DeMaio M, Magann EF: Exercise andpregnancy. J Am Acad Orthop Surg 2009;17(8):504-514.
35. ACOG Committee Obstetric Practice:ACOG Committee opinion. Number 267,January 2002. Exercise during pregnancyand the postpartum period. Obstet Gynecol2002;99(1):171-173.
36. Snijder CA, Brand T, Jaddoe V, et al:Physically demanding work, fetal growthand the risk of adverse birth outcomes: TheGeneration R Study. Occup Environ Med2012;69(8):543-550.
37. Domingues MR, Matijasevich A,Barros AJ: Physical activity and pretermbirth: A literature review. Sports Med 2009;39(11):961-975.
38. HatchM, Ji BT, Shu XO, SusserM: Dostanding, lifting, climbing, or long hours ofwork during pregnancy have an effect on fetalgrowth? Epidemiology 1997;8(5):530-536. (Pubitemid 27377269)
39. Klebanoff MA, Shiono PH, Rhoads GG:Outcomes of pregnancy in a nationalsample of resident physicians.N Engl J Med1990;323(15):1040-1045. (Pubitemid 20336963)
40. Hamilton AR, Tyson MD, Braga JA,Lerner LB: Childbearing and pregnancycharacteristics of female orthopaedicsurgeons. J Bone Joint Surg Am 2012;94(11):e77.
41. Mudd LM, Owe KM, Mottola MF,Pivarnik JM: Health benefits of physicalactivity during pregnancy: An internationalperspective. Med Sci Sports Exerc 2013;45(2):268-277.
42. American College of Radiology: ACR-SPRPractice Guideline for imaging pregnant orpotentially pregnant adolescents and womenwith ionizing radiation. Revised 2013. www.acr.org/-/media/ACR/Documents/PGTS/guidelines/Pregnant- Patients.pdf. AccessedFebruary 18, 2014.
43. ACOG Committee on Obstetric Practice:ACOG Committee Opinion: Number 299,September 2004 (replaces No. 158,September 1995). Guidelines for diagnosticimaging during pregnancy. Obstet Gynecol2004;104(3):647-651.
44. Uzoigwe CE, Middleton RG: Occupationalradiation exposure and pregnancy inorthopaedics. J Bone Joint Surg Br 2012;94(1):23-27.
45. Fattibene P, Mazzei F, Nuccetelli C,Risica S: Prenatal exposure to ionizingradiation: Sources, effects and regulatoryaspects. Acta Paediatr 1999;88(7):693-702. (Pubitemid 29350132)
46. Valentin J: Chapter 3: Effects of in uteroirradiation. Ann ICRP 2000;30(1):9-12.
47. Bithell JF, Stewart AM: Pre-natalirradiation and childhood malignancy: Areview of the British data from the OxfordSurvey. Br J Cancer 1975;31(3):271-287.
48. Valentin J: Chapter 11: Summaryrecommendations. Ann ICRP 2000;30(1):39.