ArticleBMJ open2015
Childbirth, hospitalisation and sickness absence: a study of female twins.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Sickness absence and disability pension three years before and seven years after first childbirth: A Swedish population-based cohort study.Scandinavian journal of public health · 2024Article
- Women's Health and Working Life: A Scoping Review.International journal of environmental research and public health · 2023Article
- Article
- Childbirth, morbidity, sickness absence and disability pension: a population-based longitudinal cohort study in Sweden.BMJ open · 2020Article
- Sickness absence and disability pension in relation to first childbirth and in nulliparous women according to occupational groups: a cohort study of 492,504 women in Sweden.BMC public health · 2020Article
- Article
- The longitudinal integrated database for health insurance and labour market studies (LISA) and its use in medical research.European journal of epidemiology · 2019Review
- Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate associations of giving birth with morbidity in terms of hospitalisation and social consequences of morbidity in terms of sickness absence (SA), while taking familial (genetics and shared environmental) factors into account.
designProspective register-based cohort study. Estimates of risk of hospitalisation and SA were calculated as HRs with 95% CIs.
settingAll female twins, that is, women with a twin sister, born in Sweden.
participants5118 Swedish female twins (women with a twin sister), born during 1959-1990, where at least one in the twin pair had their first childbirth (T0) during 1994-2009 and none gave birth before 1994.
main outcome measuresHospitalisation and SA during year 3-5 after first delivery or equivalent.
resultsPreceding the first childbirth, the mean annual number of SA days increased for mothers, and then decreased again. Hospitalisation after T0 was associated with higher HRs of short-term and long-term SA (HR for short-term SA 3.0; 95% CI 2.5 to 3.6 and for long-term SA 2.3; 95% CI 1.6 to 3.2). Hospitalisation both before and after first childbirth was associated with a higher risk of future SA (HR for long-term SA 4.2; 95% CI 2.7 to 6.4). Familial factors influenced the association between hospitalisation and long-term SA, regardless of childbirth status.
conclusionsWomen giving birth did not have a higher risk for SA than those not giving birth and results indicate a positive health selection into giving birth. Mothers hospitalised before and/or after giving birth had higher risks for future SA, that is, there was a strong association between morbidity and future SA.
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