McKesson Clinical Reference Systems: Women's Health Advisor 2002.2

Most women can safely continue working throughout pregnancy. How long you continue working depends on the job you have. For example, if you sit during much of your work, you can probably continue to the end of your pregnancy.

Some women have an increased risk of problems during pregnancy. For example, you may have a history of a premature delivery or high blood pressure. Your health care provider considers your risk and the type of job you have, when advising you on working while you are pregnant.

Are some working conditions hazardous?

Some working conditions may be hazardous in pregnancy. Consider the following guidelines to determine when you may need to quit working:

• If you have a job that requires standing for a long time, you may need to stop working as early as 24 weeks into the pregnancy. When you stop depends on how long you are required to be on your feet, if you can take rest breaks and put your feet up, and on your medical history.
• Stooping and bending below knee level can be a problem. If this is part of your job, you may have to stop working as early as 20 weeks into the pregnancy.
• If you climb ladders or stairs on the job, you may have to stop working at 20 to 28 weeks.
• If you lift heavy objects, you may have to stop working as early as 20 weeks into the pregnancy.

Other possibly risky factors are excessive heat and heavy labor. Also, if your job exposes you to hazardous chemicals, gas, dust, fumes, radiation, or infectious diseases, you should be cautious. It is best to discuss these potential dangers with your health care provider before you are pregnant.

You also need to consider how long your commute to work is, the amount of stress you have on the job, and your ability to handle your additional responsibilities at home.

How can I take care of myself?

• Talk to your health care provider about the work you do. Discuss what you can and can't do on the job and possible problems.
• If you sit during much of your work, try to take a 15-minute break every 2 hours. This will improve your circulation, reduce eye strain, and relax your back muscles. (Note: The daily use of computer video displays is not a problem for pregnant women or a risk for miscarriage.)
• Know the signs and symptoms of problems (such as preterm labor) so you can judge when you are doing too much.

Can I take sick leave during my pregnancy?

Many women wonder whether they can take sick leave during at least part of their pregnancy. Generally, employers pay sickness benefits to pregnant women only if they are unable to continue work because of a strenuous or hazardous job or a pregnancy complication. If a pregnancy is normal and uncomplicated, it is not considered to be an illness and you probably will not be eligible for sick leave. Check with your employer to find out exactly what benefits you have and when you can take maternity leave. Depending on the state you live in, you may be eligible for state disability benefits.

What legal protections do I have at my workplace?

The Pregnancy Discrimination Act (PDA) protects your right to work during pregnancy. An employer cannot discriminate against you based on pregnancy, childbirth, or related medical conditions. Pregnancy or related disorders must be considered like any other medical condition. You are entitled to the same employee benefits and reinstatement privileges as other workers with similar abilities or limitations. The PDA protects you against being fired or refused a job or promotion because you are pregnant. However, it does not require your employer to make it easier for you to work.

The Occupational Safety and Health Act requires employers to maintain a safe and healthful workplace. If needed, certain changes may be made at the workplace to allow you to continue your employment safely. Some companies have adopted a "fetus protection policy." Such policies prohibit female employees of childbearing age from doing a job that exposes them to toxic substances at levels considered unsafe for the baby.

This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.