Evans Army Community Hospital Pregnancy Surveillance Program

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Pregnancy Monitoringat the Workplace
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Purpose

• This program was developed for soldiers and
  civilian employees at Fort Carson, to promote a
  healthy pregnancy outcome. It encourages a safe
  and healthy workplace environment.

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Historical Background

• AR 40-5 states that worksites will have a
  reproductive hazards program
• Initial program was started in 1994
• Program updated December 1997 in conjunction
  with the OB Educator
• Multidisciplinary team used to explore options
  and provide recommendations

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Multidisciplinary Team(Composition / Tasking)

• Composition
• Occupational Health
• Environmental Health
• Obstetrics and Gynecology
• Family Practice
• Industrial Hygiene
• Tasking
• Explore options and offer recommendations on
  developing a program that identifies worksite
  risks, promotes a healthy pregnancy/ outcome and
  supports the organizations mission.

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Recommendations

• Visit every pregnant worker at her place of duty
• Provide education to the worker and supervisor

• Identify work limitations and accommodations for
  pregnant employee, i.e. altitude, rest breaks,
  fluid intake, ergonomics
• Link employee to a pregnancy exercise program

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Recommendations cont.

• Identify workplace hazards (physical and
  chemical)
• Physical lifting, climbing, bending, reaching
• Chemical diesel fumes, ventilation, asbestos,
  white out

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Accomplishments

• 100 of the 266 identified pregnant employees had
  worksite visits
• Provided education for pregnant soldiers/civilian
  employees, peers and their supervisors
• Developed a comprehensive data base for trending
  outcomes and patterns
• Developed an education program Choices
  (available on Post) for young adults

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Pregnancy Outcome Statistics

• No concentration with
• any MOS or Unit

Miscarriages
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91
Deliveries
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Gestation Outcome Statistics
No concentration with any MOS or Unit
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Conclusion

• Noted no significant adverse outcomes due to job
  classification, workplace, or potential exposures
• Program provided an opportunity to assess and
  intervene across the spectrum from pre-conception
  to post delivery
• Tremendous success noted in educating the
  pregnant workers, peers and their supervisors
• Quarterly trending of statistical data will
  continue to monitor programs progression

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For more information at Fort Carson call (719)
526-3491Ask for Ms. Evelyn J. Kohler