Ambulatory Obstetric CareWork and Work-related Stress in PregnancyKATZ, VERN L. MDAuthor Information Department of Ob/Gyn, OHSU School of Medicine, Portland; Department of Physiology, University of Oregon, Eugene, Oregon The author declares that he has nothing to disclose. Correspondence: Vern L. Katz, MD, Department of Ob/Gyn, OHSU School of Medicine, Springfield, OR. E-mail: firstname.lastname@example.org Clinical Obstetrics and Gynecology: September 2012 - Volume 55 - Issue 3 - p 765-773 doi: 10.1097/GRF.0b013e318253b192 Buy SDC Metrics Abstract Work, in general, does not increase the risks of pregnancy complications. Work that is stressful, physically, psychologically, or both, has deleterious effects on pregnancy. Stressful work increases the risks of miscarriage, preterm labor, preterm birth, low birth weight, and preeclampsia. The greater the stress, the greater the risks of pregnancy complications. Women with a history of pregnancy complications should be counseled about reducing stressful work before pregnancy. Women with stressful jobs should be followed closely during pregnancy, and if signs of preterm labor or delayed fetal growth develop, then occupational stress should be decreased or eliminated. Some occupations expose pregnant women to teratogens such as organic solvents, heavy metals, or pesticides. A careful work history should be part of every preconception and early pregnancy visit. © 2012 Lippincott Williams & Wilkins, Inc.