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Occupational, social and medical characteristics of early prenatal leave in France

Solène Vigoureux 1, * Béatrice Blondel 1 Virginie Ringa 2, 3 Marie-Josèphe Saurel-Cubizolles 1
* Corresponding author
1 CRESS - U1153 - Equipe 1 : EPOPé - Épidémiologie Obstétricale, Périnatale et Pédiatrique
UPD5 - Université Paris Descartes - Paris 5, CRESS (U1153 / UMR_A_1125 / UMR_S_1153) - Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité
2 CESP - INSERM U1018 - Equipe 7 - Sexualité et soins (Genre, Sexualité, Santé)
CESP - Centre de recherche en épidémiologie et santé des populations
Abstract : Background: In France, most women of childbearing age work. The prenatal leave law in France protects women during pregnancy and their employment. We aimed to describe how long before delivery women stopped working and analyse the association between occupational, social and medical factors and early prenatal leave (before 24 weeks' gestation). Methods: The sample was extracted from the 2010 French National Perinatal Survey. Women were interviewed in French maternity units during a 1-week period. We focused on all women with a singleton live birth who were working during pregnancy (n = 10 149). Women were interviewed between delivery and discharge to collect information on employment, date of leave, sociodemographic and medical characteristics. Results: Among women who worked during pregnancy, 27.5% reported early occupational leave (before 24 weeks' gestation). Early occupational leave was more frequent among women with unstable jobs (fixed-term vs. non–fixed-term contract: adjusted odds ratio aOR = 1.60 [95% confidence interval 1.40–1.84]) and with less-qualified occupational categories (manual workers vs. managers and upper-intellectual positions: aOR = 2.96 [2.30–3.82]), even after adjusting for sociodemographic and other employment characteristics. Women with a pathological or at risk pregnancy left work earlier than other women. After stratification on type of pregnancy there was still a higher rate of early leave for women with less qualified occupational group. Conclusion: In France, social vulnerability of pregnant women, linked to low sociodemographic situation or low occupational categories, is associated with early leave during pregnancy, even after stratification on type of pregnancy.
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Solène Vigoureux, Béatrice Blondel, Virginie Ringa, Marie-Josèphe Saurel-Cubizolles. Occupational, social and medical characteristics of early prenatal leave in France. European Journal of Public Health, Oxford University Press (OUP): Policy B - Oxford Open Option D, 2016, [Epub ahead of print]. ⟨10.1093/eurpub/ckw072⟩. ⟨inserm-01327120⟩

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