A new study suggests that bending forward and walking a lot at work during early pregnancy might increase the risk of miscarriage, just in case expectant mothers needed another thing to worry about.
Miscarriage affects about 15% of women, with known risk factors including parental age, smoking, night shifts, air pollution, and various chemical compounds. Now, researchers have added occupational posture to the list of things to stress over.
Using data from nearly half a million women in Denmark, researchers from Bispebjerg Hospital and the University of Copenhagen found that each additional hour of bending forward at a 30-degree angle during an eight-hour workday was associated with a 36% higher risk of miscarriage. Meanwhile, every extra hour of walking was linked to an 18% higher risk.
The study, published in the journal Occupational and Environmental Medicine, analyzed 803,829 pregnancies among 475,312 women between 2004 and 2018. The researchers employed a pregnancy-specific job exposure model combining activity tracker readings with expert evaluations of time spent standing, walking, and bending.
About 81,307 pregnancies (one in ten) ended in miscarriage - lower than the usual prevalence. Standing also carried a 3% higher risk per additional hour.
Before anyone panics, this is an observational study, so it cannot prove cause and effect. Limitations include a lack of individual data on smoking during pregnancy and potential confounding factors like shift work or chemical exposures.
Prof Asma Khalil from City St George's, University of London, who was not involved in the study, cautioned that the findings should not be interpreted as meaning ordinary movement in early pregnancy is unsafe. She noted the need for replication in other populations before translating results into workplace guidance.
The researchers themselves acknowledge the mechanisms aren't fully understood but speculate these occupational exposures might affect placental perfusion or hormonal regulation.
So for now, pregnant workers might want to avoid becoming human pretzels at their desks - but the jury's still out on whether walking to the bathroom is a risk.