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Maternal and Fetal Health Effects of Working during Pregnancy

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  • Dhaval M. Dave
  • Muzhe Yang

Abstract

We provide some of the first empirical evidence of maternal and fetal health effects of working during pregnancy by using a unique dataset from the New Jersey Department of Health that includes information not only on pregnancy and birth outcomes but also on maternal employment. We match the mother’s occupation with the Metabolic Equivalent of Task, provided by the Census Occupational Classification System and used as a measure for the strenuousness of the work activities performed. We find robust evidence that working in a relatively more strenuous job during pregnancy raises the likelihood of fetal macrosomia by about 1.5 percentage points. There are no statistically or economically significant effects on other birth outcomes. Our study further indicates an under-studied link between gestational diabetes (a known risk factor for fetal macrosomia) and intensive physical activities at work during pregnancy, potentially mediated by disrupted sleep due to greater work intensity.

Suggested Citation

  • Dhaval M. Dave & Muzhe Yang, 2019. "Maternal and Fetal Health Effects of Working during Pregnancy," NBER Working Papers 26343, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:26343
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    References listed on IDEAS

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    1. Henry Saffer & Dhaval Dave, 2005. "Mental Illness and the Demand for Alcohol, Cocaine, and Cigarettes," Economic Inquiry, Western Economic Association International, vol. 43(2), pages 229-246, April.
    2. Inas Kelly & Dhaval Dave & Jody Sindelar & William Gallo, 2014. "The impact of early occupational choice on health behaviors," Review of Economics of the Household, Springer, vol. 12(4), pages 737-770, December.
    3. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    4. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    5. Dhaval Dave & Sandra L. Decker & Robert Kaestner & Kosali I. Simon, 2015. "The Effect of Medicaid Expansions in the Late 1980s and Early 1990s on the Labor Supply of Pregnant Women," American Journal of Health Economics, University of Chicago Press, vol. 1(2), pages 165-193, Spring.
    6. Henry Saffer & Dhaval Dave & Michael Grossman & Leigh Ann Leung, 2013. "Racial, Ethnic, and Gender Differences in Physical Activity," Journal of Human Capital, University of Chicago Press, vol. 7(4), pages 378-410.
    7. Thomas Barnay, 2016. "Health, work and working conditions: a review of the European economic literature," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(6), pages 693-709, July.
    8. Homer, C.J. & James, S.A. & Siegel, E., 1990. "Work-related psychosocial stress and risk of preterm, low birthweight delivery," American Journal of Public Health, American Public Health Association, vol. 80(2), pages 173-177.
    9. Colman, Gregory & Dave, Dhaval, 2013. "Exercise, physical activity, and exertion over the business cycle," Social Science & Medicine, Elsevier, vol. 93(C), pages 11-20.
    10. Dave, Dhaval M. & Kelly, Inas Rashad, 2012. "How does the business cycle affect eating habits?," Social Science & Medicine, Elsevier, vol. 74(2), pages 254-262.
    11. Hope Corman & Dhaval Dave & Nancy E. Reichman, 2018. "Evolution of the Infant Health Production Function," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 6-47, July.
    12. Ralitza Gueorguieva & Jody L. Sindelar & Tracy A. Falba & Jason M. Fletcher & Patricia Keenan & Ran Wu & William T. Gallo, 2009. "The Impact of Occupation on Self-Rated Health: Cross-Sectional and Longitudinal Evidence from the Health and Retirement Survey," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 64(1), pages 118-124.
    13. Hope Corman & Theodore J. Joyce & Michael Grossman, 1987. "Birth Outcome Production Function in the United States," Journal of Human Resources, University of Wisconsin Press, vol. 22(3), pages 339-360.
    14. Karen Smith Conway & Andrea Kutinova, 2006. "Maternal health: does prenatal care make a difference?," Health Economics, John Wiley & Sons, Ltd., vol. 15(5), pages 461-488, May.
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    Cited by:

    1. Kajal Lahiri & Liu Yang, 2021. "Estimating Endogenous Ordered Response Panel Data Models with an Application to Income Gradient in Child Health," Sankhya B: The Indian Journal of Statistics, Springer;Indian Statistical Institute, vol. 83(2), pages 207-243, November.

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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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