Current status and high-risk factors of blood-borne occupational exposure among midwives in China: A cross-sectional survey


Background: To identify the problems and high-risk factors of blood-borne occupational exposure among midwives in China. Methods: Midwives from the obstetrics department and delivery room of hospitals in institutions. The self-compiled questionnaire on the current status of blood-borne occupational exposure of Chinese midwives was used for data collection. Results: The incidence rate of blood-borne occupational exposure was 46.77%. The independen risk factors were working years≤ 5 years (p=0.001), unable to take standard prevention at work (p=0.000), unaware of HIV treatment procedures (p=0.000), and average daily working hours of 8 hours (p=0.002), the high risk of blood-borne occupational exposure at work (p=0.000), and contact with patient fluids, blood without gloves (p=0.000). Discussion: Midwives are at high risk of blood-borne occupational exposure, and midwives with ≤ 5 years of service are the focus group.Failure to achieve standard prevention,the length of working hours and the ignorance of the treatment process of AIDS have a certain impact on the occurrence of blood-borne occupational exposure. Conclusion: It is necessary to focus on cultivating high-level midwifery talents to overcome the shortage of midwives and rationally use midwifery resources, as well as to strengthen standard prevention and improve the occupational protection and guarantee system for midwives.

Authors: Jing Li, Haixia Zhang, Yanhua Zhang, Lijuan Wang, Li Li, Meiling Chen
; Full Source: American journal of infection control 2022 Jun 12;S0196-6553(22)00481-3. doi: 10.1016/j.ajic.2022.06.009.