Health care providers can offer employment-related support to pregnant patients by providing information about occupational risks and benefits, discussing adjustments, and/or completing paperwork to help patients obtain accommodations or benefits, but little research has examined whether and how this support is provided. We conducted interviews with 20 adults who had been employed while pregnant within the 5 years preceding data collection. Eligible participants had low incomes, were hourly wage earners, or were employed in service or retail occupations. Applied thematic analysis was used to identify emergent themes. People who had been employed while pregnant described a range of experiences during that time, including physical and psychological demands from work, lack of access to appropriate accommodations, difficulties combining breastfeeding with work, and work-related challenges accessing health care. Participants described four primary roles that health care providers played: 1) completing paperwork needed to apply for benefits or receive work modification; 2) providing information about how to mitigate employment-related risks; 3) providing referrals to social or medical services; and 4) advocating for patients to ensure receipt of accommodations, resources, and information. Strategies identified by patients that could be enacted within health care to help them better navigate the work-pregnancy interface include increasing appointment flexibility, providing information about work-related risks and benefits programs and referrals to legal support, and helping providers to understand and support their patients’ individual work-related concerns. Health care providers have a critical role to play in supporting employed pregnant people to achieve flexibility in managing their work and to be active participants in discussions about recommended workplace accommodations.

中文翻译：

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“我该如何为此做好准备？”患者对医疗服务提供者怀孕期间就业相关支持的看法

医疗保健提供者可以通过提供有关职业风险和福利的信息、讨论调整和/或完成文书工作来帮助患者获得住宿或福利，从而向怀孕患者提供与就业相关的支持，但很少有研究探讨是否以及如何提供这种支持。我们对 20 名在数据收集前 5 年内怀孕期间工作的成年人进行了采访。符合资格的参与者收入较低，是小时工，或受雇于服务或零售行业。应用主题分析用于识别新出现的主题。怀孕期间就业的人描述了这段时间的一系列经历，包括工作对身体和心理的要求、缺乏适当的住宿条件、母乳喂养与工作相结合的困难以及获得医疗保健方面与工作相关的挑战。参与者描述了医疗保健提供者所扮演的四个主要角色：1）完成申请福利或接受工作调整所需的文书工作； 2）提供有关如何减轻就业相关风险的信息； 3) 提供社会或医疗服务转介； 4) 倡导患者确保获得住宿、资源和信息。患者确定的可以在医疗保健领域实施的策略，可以帮助他们更好地应对工作与怀孕的界面，包括提高预约灵活性、提供有关工作相关风险和福利计划的信息以及转介法律支持，以及帮助提供者了解和支持他们的工作。患者个人与工作相关的问题。医疗保健提供者在支持就业孕妇实现工作管理的灵活性并积极参与有关推荐工作场所便利的讨论方面发挥着关键作用。