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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zurniimtpe</journal-id><journal-title-group><journal-title xml:lang="ru">Медицина труда и промышленная экология</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Occupational Health and Industrial Ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1026-9428</issn><issn pub-type="epub">2618-8945</issn><publisher><publisher-name>FSBSI “Izmerov Research Institute of Occupational Health”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31089/1026-9428-2026-66-5-323-333</article-id><article-id custom-type="edn" pub-id-type="custom">izhtip</article-id><article-id custom-type="elpub" pub-id-type="custom">zurniimtpe-4199</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>Профессиональные детерминанты нарушений репродуктивного здоровья у медицинских работников</article-title><trans-title-group xml:lang="en"><trans-title>Occupational determinants of reproductive health disorders in medical workers</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7136-1442</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фесенко</surname><given-names>Марина Александровна</given-names></name><name name-style="western" xml:lang="en"><surname>Fesenko</surname><given-names>Marina A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зав. лаб. профилактики нарушений репродуктивного здоровья работников ФГБНУ «НИИ МТ», д-р мед. наук</p><p>e-mail: fesenkoma@irioh.ru</p></bio><bio xml:lang="en"><p>Head of the Laboratory for Prevention of Reproductive Health Disorders in Workers, Izmerov Research Institute of Occupational Health, Dr. of Sci. (Med.)</p><p>e-mail: fesenkoma@irioh.ru</p></bio><email xlink:type="simple">fesenkoma@irioh.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6693-4186</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Владимировна</surname><given-names>Голованева Галина</given-names></name><name name-style="western" xml:lang="en"><surname>Golovaneva</surname><given-names>Galina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вед. науч. сотр. лаб. профилактики нарушений репродуктивного здоровья работников ФГБНУ «НИИ МТ», д-р мед. наук</p><p>e-mail: galstella@mail.ru</p></bio><bio xml:lang="en"><p>Leading Researcher, Laboratory for Prevention of Reproductive Health Disorders in Workers, Izmerov Research Institute of Occupational Health, Dr. of Sci. (Med.)</p><p>e-mail: galstella@mail.ru</p></bio><email xlink:type="simple">galstella@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2007-4731</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мителева</surname><given-names>Татьяна Юрьевна</given-names></name><name name-style="western" xml:lang="en"><surname>Miteleva</surname><given-names>Tatyana Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ст. науч. сотр. лаб. профилактики нарушений репродуктивного здоровья работников ФГБНУ «НИИ МТ», канд. мед. наук</p><p>e-mail: miteleva@irioh.ru</p></bio><bio xml:lang="en"><p>Senior Researcher, Laboratory for Prevention of Reproductive Health Disorders in Workers, Izmerov Research Institute of Occupational Health, Cand. of Sci. (Med.)</p><p>e-mail: miteleva@irioh.ru</p></bio><email xlink:type="simple">miteleva@irioh.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4824-4648</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Александрович</surname><given-names>Вуйцик Петр</given-names></name><name name-style="western" xml:lang="en"><surname>Vuytsik</surname><given-names>Petr A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Науч. сотр. лаб. профилактики нарушений репродуктивного здоровья работников ФГБНУ «НИИ МТ», ассист. каф. медицины труда, авиационной, космической и водолазной медицины ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова Минздрава России (Сеченовский Университет)»</p><p>e-mail: pv1985@mail.ru</p></bio><bio xml:lang="en"><p>Researcher, Laboratory for Prevention of Reproductive Health Disorders in Workers, Izmerov Research Institute of Occupational Health; Assistant, Department of Occupational Health, Aviation, Space and Diving Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University)</p><p>e-mail: pv1985@mail.ru</p></bio><email xlink:type="simple">pv1985@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6853-8518</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Владимировна</surname><given-names>Халтурина Юлия</given-names></name><name name-style="western" xml:lang="en"><surname>Khalturyna</surname><given-names>Yuliya V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мл. науч. сотр. лаб. профилактики нарушений репродуктивного здоровья работников ФГБНУ «НИИ МТ»</p><p>e-mail: julia.vladimirovna.103@gmail.com</p></bio><bio xml:lang="en"><p>Junior Researcher, Laboratory for Prevention of Reproductive Health Disorders in Workers, Izmerov Research Institute of Occupational Health</p><p>e-mail: julia.vladimirovna.103@gmail.com</p></bio><email xlink:type="simple">julia.vladimirovna.103@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Уткина</surname><given-names>Наталья Сергеевна</given-names></name><name name-style="western" xml:lang="en"><surname>Utkina</surname><given-names>Natalya S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Врач акушер-гинеколог, клиника профессиональных и производственно обусловленных заболеваний, ФГБНУ «НИИ МТ»</p><p>e-mail: tasha_2205@mail.ru</p></bio><bio xml:lang="en"><p>Obstetrician-gynecologist, Clinic of Occupational and Work-Related Diseases, Izmerov Research Institute of Occupational Health</p><p>e-mail: tasha_2205@mail.ru</p></bio><email xlink:type="simple">tasha_2205@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт медицины труда имени академика Н.Ф. Измерова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Izmerov Research Institute of Occupational Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт медицины труда имени академика Н.Ф. Измерова»; ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова Минздрава России (Сеченовский Университет)»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Izmerov Research Institute of Occupational Health; I.M. Sechenov First Moscow State Medical University (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>27</day><month>06</month><year>2026</year></pub-date><volume>66</volume><issue>5</issue><fpage>323</fpage><lpage>333</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Фесенко М.А., Владимировна Г.Г., Мителева Т.Ю., Александрович В.П., Владимировна Х.Ю., Уткина Н.С., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Фесенко М.А., Владимировна Г.Г., Мителева Т.Ю., Александрович В.П., Владимировна Х.Ю., Уткина Н.С.</copyright-holder><copyright-holder xml:lang="en">Fesenko M.A., Golovaneva G.V., Miteleva T.Y., Vuytsik P.A., Khalturyna Y.V., Utkina N.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.journal-irioh.ru/jour/article/view/4199">https://www.journal-irioh.ru/jour/article/view/4199</self-uri><abstract><p>Сохранение репродуктивного здоровья женщин медицинских работников — приоритетная задача медицины труда и демографической политики. В обзоре проанализированы современные данные рецензируемых публикаций из международных (PubMed, MEDLINE, Scopus) и российских (eLibrary, РИНЦ) научных баз данных по влиянию вредных производственных факторов на репродуктивное здоровье женщин медицинских работников. Отобраны оригинальные исследования, систематические обзоры и мета-анализы, содержащие количественные оценки риска: отношение шансов (OR), относительный риск (RR) и этиологическая доля (EF).</p><p>Представленный анализ убедительно показывает статистически значимую связь между воздействием вредных производственных факторов и нарушениями репродуктивного здоровья у медицинских работников, включая осложнения беременности и снижение фертильности.</p><sec><title>Участие авторов</title><p>Участие авторов:Фесенко М.А. — концепция и дизайн исследования, анализ и интерпретация данных, одобрение окончательной версии;Голованева Г.В. — концепция и дизайн исследования, анализ и интерпретация данных, редактирование;Мителева Т.Ю. — сбор и обработка материала, написание текста;Вуйцик П.А. — сбор материала, написание текста раздела статьи;Халтурина Ю.В. — сбор материала, написание текста раздела статьи;Уткина Н.С. — сбор материала, написание текста раздела статьи;Все авторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.</p></sec><sec><title>Финансирование</title><p>Финансирование. Исследование не имело спонсорской поддержки.</p></sec><sec><title>Конфликт интересов</title><p>Конфликт интересов. Авторы статьи сообщают об отсутствии конфликта интересов.</p></sec><sec><title>Дата поступления</title><p>Дата поступления: 01.04.2026 / Дата принятия к печати: 28.05.2026 / Дата публикации: 00.00.2026</p></sec></abstract><trans-abstract xml:lang="en"><p>Preserving the reproductive health of female medical workers is a priority task of occupational medicine and demographic policy. The review analyzes current data from peer-reviewed publications from international (PubMed, MEDLINE, Scopus) and Russian (eLibrary, RSCI) scientific databases on the impact of harmful industrial factors on the reproductive health of female medical workers. Original studies, systematic reviews, and meta-analyses containing quantitative risk assessments were selected: odds ratio (OR), relative risk (RR), and etiological proportion (EP).</p><p>The presented analysis convincingly shows a statistically significant association between exposure to harmful occupational factors and reproductive health disorders in medical professionals, including pregnancy complications and decreased fertility.</p><sec><title>Contributions</title><p>Contributions:Fesenko M.A. — research concept and design, data analysis and interpretation; approval of the final version;Golovaneva G.V. — research concept and design, data analysis and interpretation, editing;Miteleva T.Y. — collecting and processing material, writing text;Vujtsik P.A. — collecting material, writing the text of the article section;Khalturina Yu.V. — collecting material, writing the text of the article section;Utkina N.S. — collecting material, writing the text of the article section;All co-authors — approving the final version of the article and ensuring the integrity of all parts of the article.</p></sec><sec><title>Funding</title><p>Funding. The study had no funding.</p></sec><sec><title>Conflict of interests</title><p>Conflict of interests. The authors declare no conflict of interest.</p></sec><sec><title>Received</title><p>Received: 01.04.2026 / Accepted: 28.05.2026 / Published: 00.00.2026</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>медицинские работники</kwd><kwd>репродуктивное здоровье</kwd><kwd>профессиональный риск</kwd><kwd>вредные факторы</kwd><kwd>условия труда</kwd><kwd>сменный график</kwd><kwd>стресс</kwd><kwd>осложнения беременности и родов</kwd><kwd>здоровье новорождённых</kwd><kwd>бесплодие</kwd></kwd-group><kwd-group xml:lang="en"><kwd>medical workers</kwd><kwd>reproductive health</kwd><kwd>occupational risk</kwd><kwd>harmful factors</kwd><kwd>working conditions</kwd><kwd>shift schedule</kwd><kwd>stress</kwd><kwd>complications of pregnancy and childbirth</kwd><kwd>newborn health</kwd><kwd>infertility</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Joseph B., Joseph M. The health of the healthcare workers. Indian J. Occup. Environ. Med. 2016; 20(2): 71–2. https://clck.ru/3TG563</mixed-citation><mixed-citation xml:lang="en">Joseph B., Joseph M. The health of the healthcare workers. Indian J. Occup. Environ. Med. 2016; 20(2): 71–2.  https://clck.ru/3TG563</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Трубецков А.Д., Каменева А.Д. Использование индекса трудоспособности (Work Ability Index) в медицине труда (обзор литературы). Гигиена и санитария. 2022; 101(6): 645–648. https://doi.org/10.47470/0016-9900-2022-101-6-645-648</mixed-citation><mixed-citation xml:lang="en">Trubetskov A.D., Kameneva A.D. The use of the workability index in occupational medicine (literature review). Gigiena i Sanitariya. 2022; 101(6): 645–648. https://doi.org/10.47470/0016-9900-2022-101-6-645-648 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Косарев В.В., Бабанов С.А. Профессиональные заболевания медицинских работников: монография. М.: ИНФРА-М; 2026. ISBN: 9785160062204.</mixed-citation><mixed-citation xml:lang="en">Kosarev V.V., Babanov S.A. Occupational diseases of medical workers: monograph. M.: INFRA-M, 2026. 2026. ISBN: 9785160062204 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Ланг Т.А., Сесик М. Как описывать статистику в медицине: руководство для авторов, редакторов и рецензентов. М.: Практическая медицина; 2016. ISBN 978-5-98811-325-6.</mixed-citation><mixed-citation xml:lang="en">Lang T.A., Sesik M. How to write statistics in medicine: a guide for authors, editors, and reviewers [Kak opisy`vat` statistiku v medicine: rukovodstvo dlya avtorov, redaktorov i recenzentov]. M.: Prakticheskaya medicina; 2016. ISBN 978-5-98811-325-6 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Baudin C., Vacquier B., Thin G., Chenene L., Guersen J., Partarrieu I. et al. Occupational exposure to ionizing radiation in medical staff: trends during the 2009–2019 period in a multicentric study. Eur. Radiol. 2023; 33(8): 5675–5684. https://doi.org/10.1007/s00330-023-09541-z</mixed-citation><mixed-citation xml:lang="en">Baudin C., Vacquier B., Thin G., Chenene L., Guersen J., Partarrieu I. et al. Occupational exposure to ionizing radiation in medical staff: trends during the 2009–2019 period in a multicentric study. Eur. Radiol. 2023; 33(8): 5675–5684. https://doi.org/10.1007/s00330-023-09541-z</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Кeskin А., Аci R., Аri M. The effect of ionizing radiation on health professionals working in the radiology department. Aurum Journal of Health Sciences. 2023; 5(3): 129–134. https://izlik.org/JA52SU33FH</mixed-citation><mixed-citation xml:lang="en">Кeskin А., Аci R., Аri M. The effect of ionizing radiation on health professionals working in the radiology department. Aurum Journal of Health Sciences. 2023; 5(3): 129–134. https://izlik.org/JA52SU33FH</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Wang T.Y., Grines C., Ortega R., Dai D., Jacobs A.K., Skelding K.A. et al. Women in interventional cardiology: Update in percutaneous coronary intervention practice patterns and outcomes of female operators from the National Cardiovascular Data Registry. Catheter Cardiovasc. Interv. 2016; 87: 663–8. https://doi.org/10.1002/ccd.26118</mixed-citation><mixed-citation xml:lang="en">Wang T.Y., Grines C., Ortega R., Dai D., Jacobs A.K., Skelding K.A. et al. Women in interventional cardiology: Update in percutaneous coronary intervention practice patterns and outcomes of female operators from the National Cardiovascular Data Registry. Catheter Cardiovasc. Interv. 2016; 87: 663–8. https://doi.org/10.1002/ccd.26118</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Capranzano P., Kunadian V., Mauri J., Petronio A.S., Salvatella N., Appelman Y. et al. Motivations for and barriers to choosing an interventional cardiology career path: results from the EAPCI Women Committee worldwide survey. EuroIntervention. 2016; 12: 53–59. https://pubmed.ncbi.nlm.nih.gov/26151955/</mixed-citation><mixed-citation xml:lang="en">Capranzano P., Kunadian V., Mauri J., Petronio A.S., Salvatella N., Appelman Y. et al. Motivations for and barriers to choosing an interventional cardiology career path: results from the EAPCI Women Committee worldwide survey. EuroIntervention. 2016; 12: 53–59. https://pubmed.ncbi.nlm.nih.gov/26151955/</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">National Council on Radiation Protection and Measurements. NCRP Report 174: Preconception and prenatal radiation exposure: Health effects and protective guidance. NCRP Publications. 2013. https://aapm.org/pubs/ncrp/detail.asp?docid=2</mixed-citation><mixed-citation xml:lang="en">National Council on Radiation Protection and Measurements. NCRP Report 174: Preconception and prenatal radiation exposure: Health effects and protective guidance. NCRP Publications. 2013. https://aapm.org/pubs/ncrp/detail.asp?docid=2</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Saada M., Sanchez-Jimenez E., Roguin A. Risk of ionizing radiation in pregnancy: just a myth or a real concern? Europace. 2023; 25(2): 270–276. https://doi.org/10.1093/europace/euac158</mixed-citation><mixed-citation xml:lang="en">Saada M., Sanchez-Jimenez E., Roguin A. Risk of ionizing radiation in pregnancy: just a myth or a real concern? Europace. 2023; 25(2): 270–276. https://doi.org/10.1093/europace/euac158</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Vu C.T., Elder D.H. Pregnancy and the working interventional radiologist. Semin. Interv. Radiol. 2013; 30: 403–7. https://clck.ru/3TG5bc</mixed-citation><mixed-citation xml:lang="en">Vu C.T., Elder D.H. Pregnancy and the working interventional radiologist. Semin. Interv. Radiol. 2013; 30: 403–7. https://clck.ru/3TG5bc</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Razavimoghadam M., Sefidkar R., Ehrampoush M.H., Teimouri F., Hassanabadi M.H.Z., Nokhostin F. The association of widely used electromagnetic waves exposure and pregnancy and birth outcomes in Yazd women: a cohort study. BMC Pregnancy Childbirth. 2025; 25(1): 427. https://doi.org/10.1186/s12884-025-07512-4</mixed-citation><mixed-citation xml:lang="en">Razavimoghadam M., Sefidkar R., Ehrampoush M.H., Teimouri F., Hassanabadi M.H.Z., Nokhostin F. The association of widely used electromagnetic waves exposure and pregnancy and birth outcomes in Yazd women: a cohort study. BMC Pregnancy Childbirth. 2025; 25(1): 427. https://doi.org/10.1186/s12884-025-07512-4</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">König A.M., Pöschke A., Mahnken A.H. Health risks for medical personnel due to magnetic fields in magnetic resonance imaging. Rofo. 2025; 197(2): 135-144. https://doi.org/10.1055/a-2296-3860</mixed-citation><mixed-citation xml:lang="en">König A.M., Pöschke A., Mahnken A.H. Health risks for medical personnel due to magnetic fields in magnetic resonance imaging. Rofo. 2025; 197(2): 135-144. https://doi.org/10.1055/a-2296-3860</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Park J., Stanford J.B., Porucznik C.A., Christensen K., Schliep K.C. Daily perceived stress and time to pregnancy: a prospective cohort study of women trying to conceive. Psychoneuroendocrinology. 2019; 110: 104446. https://doi.org/10.1016/j.psyneuen.2019.104446</mixed-citation><mixed-citation xml:lang="en">Park J., Stanford J.B., Porucznik C.A., Christensen K., Schliep K.C. Daily perceived stress and time to pregnancy: a prospective cohort study of women trying to conceive. Psychoneuroendocrinology. 2019; 110: 104446. https://doi.org/10.1016/j.psyneuen.2019.104446</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Бабанов С.А., Стрижаков Л.А., Агаркова И.А., Тезиков Ю.В., Липатов И.С. Производственные факторы и репродуктивное здоровье: каузация и оценка профессиональных рисков. Гинекология. 2019; 21(4): 33–43. https://doi.org/10.26442/20795696.2019.1.190227</mixed-citation><mixed-citation xml:lang="en">Babanov S.A., Strizhakov L.A., Agarkova I.A., Tezikov Yu.V., Lipatov I.S. Workplace factors and reproductive health: causation and occupational risks assessment. Ginekologiya. 2019; 21(4): 33–43. https://doi.org/10.26442/20795696.2019.1.190227 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Бухтияров И.В., Герегей А.М., Краснова С.В., Конюхов А.В., Сажина М.В., Малахова И.С. и др. Тепловое состояние организма при использовании средств индивидуальной защиты от биологических факторов. Гигиена и санитария. 2022; 101(1): 1321–1327. https://doi.org/10.47470/0016-9900-2022-101-11-1321-1327</mixed-citation><mixed-citation xml:lang="en">Bukhtiyarov I.V., Geregey A.M., Krasnova S.V., Konyukhov A.V., Sazhina M.V., Malakhova I.S., et al. The thermal state of body when using personal protective equipment against biological factors. Gigiena i sanitariya. 2022; 101(1): 1321–1327. https://doi.org/10.47470/0016-9900-2022-101-11-1321-1327 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Braz M.G., Carvalho L.I.M., Chen C.O. et al. High concentrations of waste anesthetic gases induce genetic damage and inflammation in physicians exposed for three years: a cross-sectional study. Indoor Air. 2020; 30: 512–520. https://doi.org/10.1111/ina.12643</mixed-citation><mixed-citation xml:lang="en">Braz M.G., Carvalho L.I.M., Chen C.O. et al. High concentrations of waste anesthetic gases induce genetic damage and inflammation in physicians exposed for three years: a cross-sectional study. Indoor Air. 2020; 30: 512–520. https://doi.org/10.1111/ina.12643</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Warembourg C., Cordier S., Garlantézec R. An update systematic review of fetal death, congenital anomalies, and fertility disorders among health care workers. Am. J. Ind. Med. 2017; 60: 578–590. https://doi.org/10.1002/ajim.22711</mixed-citation><mixed-citation xml:lang="en">Warembourg C., Cordier S., Garlantézec R. An update systematic review of fetal death, congenital anomalies, and fertility disorders among health care workers. Am. J. Ind. Med. 2017; 60: 578–590. https://doi.org/10.1002/ajim.22711</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Oliveira L.A., P El Dib R., Figueiredo D.B.S., Braz L.G., Braz M.G. Spontaneous abortion in women occupationally exposed to inhalational anesthetics: a critical systematic review. Environ. Sci. Pollut. Res. Int. 2021; 28(9): 10436–10449. https://doi.org/10.1007/s11356-020-11684-1</mixed-citation><mixed-citation xml:lang="en">Oliveira L.A., P El Dib R., Figueiredo D.B.S., Braz L.G., Braz M.G. Spontaneous abortion in women occupationally exposed to inhalational anesthetics: a critical systematic review. Environ. Sci. Pollut. Res. Int. 2021; 28(9): 10436–10449. https://doi.org/10.1007/s11356-020-11684-1</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Ying T., Yuanqing W. Occupational exposure to inhalational anesthetics and the risk of spontaneous abortion: a systematic review and meta-analysis. Front. Public Health. 2026; 14: 1766912. https://doi.org/10.3389/fpubh.2026.1766912</mixed-citation><mixed-citation xml:lang="en">Ying T., Yuanqing W. Occupational exposure to inhalational anesthetics and the risk of spontaneous abortion: a systematic review and meta-analysis. Front. Public Health. 2026; 14: 1766912. https://doi.org/10.3389/fpubh.2026.1766912</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">García-Álvarez J.M., Escribano-Sánchez G., Osuna E., Molina-Rodríguez A., Díaz-Agea J.L., García-Sánchez A. Occupational Exposure to Inhalational Anesthetics and Teratogenic Effects: A Systematic Review. Healthcare (Basel). 2023; 11(6): 883. https://doi.org/10.3390/healthcare11060883</mixed-citation><mixed-citation xml:lang="en">García-Álvarez J.M., Escribano-Sánchez G., Osuna E., Molina-Rodríguez A., Díaz-Agea J.L., García-Sánchez A. Occupational Exposure to Inhalational Anesthetics and Teratogenic Effects: A Systematic Review. Healthcare (Basel). 2023; 11(6): 883. https://doi.org/10.3390/healthcare11060883</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Braz L.G., Braz J.R.C., Cavalcante G.A.S., Souza K.M., Lucio L.M.C., Braz M.G. Comparison of waste anesthetic gases in operating rooms with or without an scavenging system in a Brazilian University Hospital. Rev. Bras. Anestesiol. 2017; 67(5): 516–520. https://doi.org/10.1016/j.bjan.2017.02.001 (Portuguese).</mixed-citation><mixed-citation xml:lang="en">Braz L.G., Braz J.R.C., Cavalcante G.A.S., Souza K.M., Lucio L.M.C., Braz M.G. Comparison of waste anesthetic gases in operating rooms with or without an scavenging system in a Brazilian University Hospital. Rev. Bras. Anestesiol. 2017; 67(5): 516–520. https://doi.org/10.1016/j.bjan.2017.02.001 (Portuguese).</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Оценка и классификация опасности репродуктивных токсикантов. Методические рекомендации 1.2.0321-23. https://clck.ru/3TG3sW</mixed-citation><mixed-citation xml:lang="en">МР 1.2.0321-23. 1.2. Hygiene, toxicology, and sanitation. Assessment and classification of reproductive toxicants. Guidelines. https://clck.ru/3TG3sW (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">The National Institute for Occupational Safetyand Health. Methyl methacrylate. Accessed November 12, 2019. https://www.cdc.gov/niosh/npg/npgd0426.html</mixed-citation><mixed-citation xml:lang="en">The National Institute for Occupational Safetyand Health. Methyl methacrylate. Accessed November 12, 2019. https://www.cdc.gov/niosh/npg/npgd0426.html</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Limchantra I.V., Fong Y., Melstrom K.A. Surgical smoke exposure in operating room personnel: a review. JAMA Surg. 2019; 154(10): 960–967. https://clck.ru/3TG9Fe</mixed-citation><mixed-citation xml:lang="en">Limchantra I.V., Fong Y., Melstrom K.A. Surgical smoke exposure in operating room personnel: a review. JAMA Surg. 2019; 154(10): 960–967. https://clck.ru/3TG9Fe</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Board on Population Health and Public Health Practice. Health Risks of Indoor Exposure to Particulate Matter: Workshop Summary. Washington, DC: National Academies Press; 2016. https://clck.ru/3TG9Uh</mixed-citation><mixed-citation xml:lang="en">Board on Population Health and Public Health Practice. Health Risks of Indoor Exposure to Particulate Matter: Workshop Summary. Washington, DC: National Academies Press; 2016. https://clck.ru/3TG9Uh</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Connor T.H., Mackenzie B.A., Debord D.G. et al. NIOSH list of antineoplastic and other hazardous drugs in healthcare settings, 2016. Cincinnati: NIOSH; 2016. https://clck.ru/3TG9XL</mixed-citation><mixed-citation xml:lang="en">Connor T.H., Mackenzie B.A., Debord D.G. et al. NIOSH list of antineoplastic and other hazardous drugs in healthcare settings, 2016. Cincinnati: NIOSH; 2016. https://clck.ru/3TG9XL</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">National Institute for Occupational Safety and Health. Antineoplastic agents. Hazardous drug exposures in healthcare. Atlanta: CDC; 2017.</mixed-citation><mixed-citation xml:lang="en">National Institute for Occupational Safety and Health. Antineoplastic agents. Hazardous drug exposures in healthcare. Atlanta: CDC; 2017.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Santos A.N., Oliveira R.J., Pessatto L.R. et al. Biomonitoring of pharmacists and nurses at occupational risk from handling antineoplastic agents. Int. J. Pharm. Pract. 2020; 28(5): 506–511. https://doi.org/10.1111/ijpp.12590</mixed-citation><mixed-citation xml:lang="en">Santos A.N., Oliveira R.J., Pessatto L.R. et al. Biomonitoring of pharmacists and nurses at occupational risk from handling antineoplastic agents. Int. J. Pharm. Pract. 2020; 28(5): 506–511. https://doi.org/10.1111/ijpp.12590</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Villa A., Molimard M., Sakr D. et al. Nurses’ internal contamination by antineoplastic drugs in hospital centers: a cross-sectional descriptive study. Int. Arch. Occup. Environ. Health. 2021; 94(8): 1839–1850. https://doi.org/10.1007/s00420-021-01706-x</mixed-citation><mixed-citation xml:lang="en">Villa A., Molimard M., Sakr D. et al. Nurses’ internal contamination by antineoplastic drugs in hospital centers: a cross-sectional descriptive study. Int. Arch. Occup. Environ. Health. 2021; 94(8): 1839–1850. https://doi.org/10.1007/s00420-021-01706-x</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Liu S., Huang Y., Huang H., Hu S., Zhong X., Peng J. et al. Influence of occupational exposure to antineoplastic agents on adverse pregnancy outcomes among nurses: A meta-analysis. Nurs. Open. 2023. 10(9): 5827–5837. https://doi.org/10.1002/nop2.1853</mixed-citation><mixed-citation xml:lang="en">Liu S., Huang Y., Huang H., Hu S., Zhong X., Peng J. et al. Influence of occupational exposure to antineoplastic agents on adverse pregnancy outcomes among nurses: A meta-analysis. Nurs. Open. 2023. 10(9): 5827–5837. https://doi.org/10.1002/nop2.1853</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Dourson M., Charnley G., Scheuplein R. Differential sensitivity of children and adults to chemical toxicity. II. Risk and regulation. Regul. Toxicol. Pharmacol. 2002; 35(3): 448–467. https://clck.ru/3TG9tq</mixed-citation><mixed-citation xml:lang="en">Dourson M., Charnley G., Scheuplein R. Differential sensitivity of children and adults to chemical toxicity. II. Risk and regulation. Regul. Toxicol. Pharmacol. 2002; 35(3): 448–467. https://clck.ru/3TG9tq</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Lee A., Lee A., Kuczmarska-Haas A., Dalwadi S.M., Gillespie E.F., Ludwig M.S., Holliday E.B., Chino F. Family Planning, Fertility, and Career Decisions Among Female Oncologists. JAMA Netw. Open. 2022; 5(10): e2237558. https://pubmed.ncbi.nlm.nih.gov/36315148/</mixed-citation><mixed-citation xml:lang="en">Lee A., Lee A., Kuczmarska-Haas A., Dalwadi S.M., Gillespie E.F., Ludwig M.S., Holliday E.B., Chino F. Family Planning, Fertility, and Career Decisions Among Female Oncologists. JAMA Netw. Open. 2022; 5(10): e2237558. https://pubmed.ncbi.nlm.nih.gov/36315148/</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Ликстанов М.И., Кузьменко С.А., Вавин Г.В., Коваливнич О.В., Мозес К.Б., Елгина С.И. и др. Формирование иммунной прослойки к Sars-Cov-2 среди сотрудников крупной многопрофильной больницы. Медицина в Кузбассе. 2021; 1: 22–25. https://elibrary.ru/uwtstr</mixed-citation><mixed-citation xml:lang="en">Likstanov M.I., Kuz`menko S.A., Vavin G.V., Kovalivnich O.V., Mozes K.B., Elgina S.I. et al. Formation of immunity against SARS-CoV-2 among employees of a large general hospital. Meditsina v Kuzbasse. 2021; 1: 22–25. https://elibrary.ru/uwtstr</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Continuing essential Sexual, Reproductive, Maternal, Neonatal, Child and Adolescent Health services during COVID-19 pandemic. World Health Organization, UNFPA, UNICEF. 2020. https://clck.ru/3TzjCc</mixed-citation><mixed-citation xml:lang="en">Continuing essential Sexual, Reproductive, Maternal, Neonatal, Child and Adolescent Health services during COVID-19 pandemic. World Health Organization, UNFPA, UNICEF. 2020. https://clck.ru/3TzjCc</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Maher M., Owens L. SARS-CoV-2 infection and female reproductive health: A narrative review. Best Pract. Res. Clin. Endocrinol. Metab. 2023; 37(4): 101760. https://doi.org/10.1016/j.beem.2023.101760</mixed-citation><mixed-citation xml:lang="en">Maher M., Owens L. SARS-CoV-2 infection and female reproductive health: A narrative review. Best Pract. Res. Clin. Endocrinol. Metab. 2023; 37(4): 101760. https://doi.org/10.1016/j.beem.2023.101760</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Xu K., Sun W., Yang S., Liu T., Hou N. The impact of COVID-19 infections on pregnancy outcomes in women. BMC Pregnancy Childbirth. 2024; 24(1): 562. https://doi.org/10.1186/s12884-024-06767-7</mixed-citation><mixed-citation xml:lang="en">Xu K., Sun W., Yang S., Liu T., Hou N. The impact of COVID-19 infections on pregnancy outcomes in women. BMC Pregnancy Childbirth. 2024; 24(1): 562. https://doi.org/10.1186/s12884-024-06767-7</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Schwartz D.A., Avvad-Portari E., Babál P., Baldewijns M., Blomberg M., Bouachb A., et al. Placental Tissue Destruction and Insufficiency From COVID-19 Causes Stillbirth and Neonatal Death From Hypoxic-Ischemic Injury. Arch. Pathol. Lab. Med. 2022; 146: 660–676. https://clck.ru/3TGB5o</mixed-citation><mixed-citation xml:lang="en">Schwartz D.A., Avvad-Portari E., Babál P., Baldewijns M., Blomberg M., Bouachb A., et al. Placental Tissue Destruction and Insufficiency From COVID-19 Causes Stillbirth and Neonatal Death From Hypoxic-Ischemic Injury. Arch. Pathol. Lab. Med. 2022; 146: 660–676. https://clck.ru/3TGB5o</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Huang C.C., Huang Y.T., Wu M.P. A nationwide population analysis of antenatal and perinatal complications among nurses and nonmedical working women. Taiwan J. Obstet. Gynecol. 2016; 55(5): 635–640. https://doi.org/10.1016/j.tjog.2015.06.015</mixed-citation><mixed-citation xml:lang="en">Huang C.C., Huang Y.T., Wu M.P. A nationwide population analysis of antenatal and perinatal complications among nurses and nonmedical working women. Taiwan J. Obstet. Gynecol. 2016; 55(5): 635–640. https://doi.org/10.1016/j.tjog.2015.06.015</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Lee W., Jung S.W., Lim Y.M., Lee K.J., Lee J.H. Spontaneous and repeat spontaneous abortion risk in relation to occupational characteristics among working Korean women: A crosssectional analysis of nationally representative data from Korea. BMC Public Health. 2019; 19: 1339. https://doi.org/10.1186/s12889-019-7728-7</mixed-citation><mixed-citation xml:lang="en">Lee W., Jung S.W., Lim Y.M., Lee K.J., Lee J.H. Spontaneous and repeat spontaneous abortion risk in relation to occupational characteristics among working Korean women: A crosssectional analysis of nationally representative data from Korea. BMC Public Health. 2019; 19: 1339. https://doi.org/10.1186/s12889-019-7728-7</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Boivin D.B., Boudreau P., Kosmadopoulos A. Disturbance of the Circadian System in Shift Work and Its Health Impact. J. Biol. Rhythms. 2022; 37(1): 3–28. https://doi.org/10.1177/07487304211064218</mixed-citation><mixed-citation xml:lang="en">Boivin D.B., Boudreau P., Kosmadopoulos A. Disturbance of the Circadian System in Shift Work and Its Health Impact. J. Biol. Rhythms. 2022; 37(1): 3–28. https://doi.org/10.1177/07487304211064218</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Колоколов О.В., Салина Е.А., Львова О.И. Расстройства сна и онкологические заболевания. Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски. 2024; 124(5 2): 125–131. https://elibrary.ru/xulhpa</mixed-citation><mixed-citation xml:lang="en">Kolokolov O.V, Salina E.A., Lvova O.I. Sleep disorders and oncological diseases. S.S. Korsakov Journal of Neurology and Psychiatry. 2024; 124(5 2): 125–131. https://elibrary.ru/xulhpa (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Ono M., Dai Y., Fujiwara T., Fujiwara H., Daikoku T., Ando H. et al. Influence of lifestyle and the circadian clock on reproduction. Reprod. Med. Biol. 2025; 24(1): 12641. https://clck.ru/3TGBQW</mixed-citation><mixed-citation xml:lang="en">Ono M., Dai Y., Fujiwara T., Fujiwara H., Daikoku T., Ando H. et al. Influence of lifestyle and the circadian clock on reproduction. Reprod. Med. Biol. 2025; 24(1): 12641. https://clck.ru/3TGBQW</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Moen B.E., Baste V., Morken T., Alsaker K., Pallesen S., Bjorvatn B. Menstrual characteristics and night work among nurses. Ind. Health. 2015; 53(4): 354–60. https://doi.org/10.2486/indhealth.2014-0214</mixed-citation><mixed-citation xml:lang="en">Moen B.E., Baste V., Morken T., Alsaker K., Pallesen S., Bjorvatn B. Menstrual characteristics and night work among nurses. Ind. Health. 2015; 53(4): 354–60. https://doi.org/10.2486/indhealth.2014-0214</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Sugiyama М., Shiraishi М., Hagihara N. A systematic review of observational studies on the association between shift work, including night shifts, and irregular menstrual cycles. Japanese Journal of Nursing and Health Sciences. 2024; 22: 56–67. https://doi.org/10.20705/jjnhs.22.0_56</mixed-citation><mixed-citation xml:lang="en">Sugiyama М., Shiraishi М., Hagihara N. A systematic review of observational studies on the association between shift work, including night shifts, and irregular menstrual cycles. Japanese Journal of Nursing and Health Sciences. 2024; 22: 56–67. https://doi.org/10.20705/jjnhs.22.0_56</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Wang F., Xie N., Wu Y., Zhang Q., Zhu Y., Dai M. et al. Association between circadian rhythm disruption and polycystic ovary syndrome. Fertil. Steril. 2021; 115: 771–81. https://doi.org/10.1016/j.fertnstert.2020.08.1425</mixed-citation><mixed-citation xml:lang="en">Wang F., Xie N., Wu Y., Zhang Q., Zhu Y., Dai M. et al. Association between circadian rhythm disruption and polycystic ovary syndrome. Fertil. Steril. 2021; 115: 771–81. https://doi.org/10.1016/j.fertnstert.2020.08.1425</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Beroukhim G., Esencan E., Seifer D.B. Impact of sleep patterns upon female neuroendocrinology and reproductive outcomes: a comprehensive review. Reproductive Biology and Endocrinology. 2022; 20(1): 16. https://doi.org/10.1186/s12958-022-00889-3</mixed-citation><mixed-citation xml:lang="en">Beroukhim G., Esencan E., Seifer D.B. Impact of sleep patterns upon female neuroendocrinology and reproductive outcomes: a comprehensive review. Reproductive Biology and Endocrinology. 2022; 20(1): 16. https://doi.org/10.1186/s12958-022-00889-3</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Ankita S. The Impact of Night Shift Duties on Female Reproductive Health among Healthcare Professionals. Indian Journal of Continuing Nursing Education. 2024; 25(2): 153–157. https://doi.org/10.4103/ijcn.ijcn_156_23</mixed-citation><mixed-citation xml:lang="en">Ankita S. The Impact of Night Shift Duties on Female Reproductive Health among Healthcare Professionals. Indian Journal of Continuing Nursing Education. 2024; 25(2): 153–157. https://doi.org/10.4103/ijcn.ijcn_156_23</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Kim K., Lee M.Y., Chang Y., Ryu S. Nightshift work and irregular menstrual cycle: 8-year follow-up cohort study. Occup. Med (Lond). 2024; 74(2): 152–160. https://doi.org/10.1093/occmed/kqad162</mixed-citation><mixed-citation xml:lang="en">Kim K., Lee M.Y., Chang Y., Ryu S. Nightshift work and irregular menstrual cycle: 8-year follow-up cohort study. Occup. Med (Lond). 2024; 74(2): 152–160. https://doi.org/10.1093/occmed/kqad162</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Mayama M., Umazume T., Watari H., Nishiguchi S., Moromizato T., Watari T. Frequency of night shift and menstrual cycle characteristics in Japanese nurses working under two or three rotating shifts. J. Occup. Health. 2020; 62(1): 12180. https://doi.org/10.1002/1348-9585.12180</mixed-citation><mixed-citation xml:lang="en">Mayama M., Umazume T., Watari H., Nishiguchi S., Moromizato T., Watari T. Frequency of night shift and menstrual cycle characteristics in Japanese nurses working under two or three rotating shifts. J. Occup. Health. 2020; 62(1): 12180. https://doi.org/10.1002/1348-9585.12180</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Xie F., Hu K., Fu R., Zhang Y., Xiao K., Tu J. Association between night shift work and the risk of type 2 diabetes mellitus: a cohort-based meta-analysis. BMC Endocr. Disord. 2024; 24(1): 268. https://doi.org/10.1186/s12902-024-01808-w</mixed-citation><mixed-citation xml:lang="en">Xie F., Hu K., Fu R., Zhang Y., Xiao K., Tu J. Association between night shift work and the risk of type 2 diabetes mellitus: a cohort-based meta-analysis. BMC Endocr. Disord. 2024; 24(1): 268. https://doi.org/10.1186/s12902-024-01808-w</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Gaskins A.J., Rich-Edwards J.W., Lawson C.C., Schernhammer E.S., Missmer S.A., Chavarro J.E. Work schedule and physical factors in relation to fecundity in nurses. Occup. Environ. Med. 2015; 72(11): 777–83. https://doi.org/10.1136/oemed-2015-103026</mixed-citation><mixed-citation xml:lang="en">Gaskins A.J., Rich-Edwards J.W., Lawson C.C., Schernhammer E.S., Missmer S.A., Chavarro J.E. Work schedule and physical factors in relation to fecundity in nurses. Occup. Environ. Med. 2015; 72(11): 777–83. https://doi.org/10.1136/oemed-2015-103026</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Anderson M., Goldman R.H. Occupational Reproductive Hazards for Female Surgeons in the Operating Room: A Review. JAMA Surg. 2020; 155(3): 243–249. https://doi.org/10.1001/jamasurg.2019.5420</mixed-citation><mixed-citation xml:lang="en">Anderson M., Goldman R.H. Occupational Reproductive Hazards for Female Surgeons in the Operating Room: A Review. JAMA Surg. 2020; 155(3): 243–249. https://doi.org/10.1001/jamasurg.2019.5420</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Kader M., Bigert C., Andersson T., Selander J., Bodin T., Skröder H. et al. Shift and night work during pregnancy and preterm birth-a cohort study of Swedish health care employees. Int. J. Epidemiol. 2022; 50: 1864–74. https://doi.org/10.1093/ije/dyab135</mixed-citation><mixed-citation xml:lang="en">Kader M., Bigert C., Andersson T., Selander J., Bodin T., Skröder H. et al. Shift and night work during pregnancy and preterm birth-a cohort study of Swedish health care employees. Int. J. Epidemiol. 2022; 50: 1864–74. https://doi.org/10.1093/ije/dyab135</mixed-citation></citation-alternatives></ref><ref id="cit55"><label>55</label><citation-alternatives><mixed-citation xml:lang="ru">Nazanin I., Omid A., Kiana G., AmirHossein A., Shadi S. Reproductive outcomes among female health care workers. BMC Women’s Health. 2024; 24: 44. https://doi.org/10.1186/s12905-024-02890-x</mixed-citation><mixed-citation xml:lang="en">Nazanin I., Omid A., Kiana G., AmirHossein A., Shadi S. Reproductive outcomes among female health care workers. BMC Women’s Health. 2024; 24: 44. https://doi.org/10.1186/s12905-024-02890-x</mixed-citation></citation-alternatives></ref><ref id="cit56"><label>56</label><citation-alternatives><mixed-citation xml:lang="ru">Lai K., Garvey E.M., Velazco C.S. et al. High infertility rates and pregnancy complications in female physicians indicate a need for culture change. Ann. Surg. 2023; 277(3): 367–72. https://doi.org/10.1097/SLA.0000000000005724</mixed-citation><mixed-citation xml:lang="en">Lai K., Garvey E.M., Velazco C.S. et al. High infertility rates and pregnancy complications in female physicians indicate a need for culture change. Ann. Surg. 2023; 277(3): 367–72. https://doi.org/10.1097/SLA.0000000000005724</mixed-citation></citation-alternatives></ref><ref id="cit57"><label>57</label><citation-alternatives><mixed-citation xml:lang="ru">Аксенова Е.И., Камынина Н.Н., Турзин П.С. Профессиональный стресс медицинских работников: обзор зарубежных практик: экспертный обзор. Москва; 2023. https://elibrary.ru/ryvovo</mixed-citation><mixed-citation xml:lang="en">Aksenova E.I., Kamynina N.N., Turzin P.S. Occupational stress in medical workers: review of foreign practices. Moscow; 2023. https://elibrary.ru/ryvovo (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit58"><label>58</label><citation-alternatives><mixed-citation xml:lang="ru">Братухин А.Г., Магазева Е.А. Индивидуальная профилактика негативного воздействия средовых и личностных факторов в репродуктивном здоровье медицинских работников. Современные проблемы науки и образования. 2016; 5: 124. https://elibrary.ru/wwvgwb</mixed-citation><mixed-citation xml:lang="en">Bratukhin A.G., Magazeva E.A. Individual prevention of environmental and personal factor impact on reproductive health of medical workers. Sovremennye Problemy Nauki i Obrazovaniya. 2016; (5): 124. https://elibrary.ru/wwvgwb (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit59"><label>59</label><citation-alternatives><mixed-citation xml:lang="ru">Rangel E.L., Castillo-Angeles M., Easter S.R., Atkinson R.B., Gosain A., Hu Y.Y., Cooper Z., Dey T., Kim E. Incidence of Infertility and Pregnancy Complications in US Female Surgeons. JAMA Surg. 2021; 156(10): 905–915. https://clck.ru/3TGFE2</mixed-citation><mixed-citation xml:lang="en">Rangel E.L., Castillo-Angeles M., Easter S.R., Atkinson R.B., Gosain A., Hu Y.Y., Cooper Z., Dey T., Kim E. Incidence of Infertility and Pregnancy Complications in US Female Surgeons. JAMA Surg. 2021; 156(10): 905–915. https://clck.ru/3TGFE2</mixed-citation></citation-alternatives></ref><ref id="cit60"><label>60</label><citation-alternatives><mixed-citation xml:lang="ru">Hamilton A.R., Tyson M.D., Braga J.A., Lerner L.B. Childbearing and pregnancy characteristics of female orthopaedic surgeons. J. Bone Joint Surg. Am. 2012; 94: 77. https://doi.org/10.2106/JBJS.K.00707</mixed-citation><mixed-citation xml:lang="en">Hamilton A.R., Tyson M.D., Braga J.A., Lerner L.B. Childbearing and pregnancy characteristics of female orthopaedic surgeons. J. Bone Joint Surg. Am. 2012; 94: 77. https://doi.org/10.2106/JBJS.K.00707</mixed-citation></citation-alternatives></ref><ref id="cit61"><label>61</label><citation-alternatives><mixed-citation xml:lang="ru">Scott V.C.S., Lerner L.B., Eilber K.S., Anger J.T., Ackerman A.L. Reevaluation of birth trends and pregnancy complications among female urologists: have we made any progress? Neurourol. Urodyn. 2020; 39: 1355–62. https://clck.ru/3TGFJJ</mixed-citation><mixed-citation xml:lang="en">Scott V.C.S., Lerner L.B., Eilber K.S., Anger J.T., Ackerman A.L. Reevaluation of birth trends and pregnancy complications among female urologists: have we made any progress? Neurourol. Urodyn. 2020; 39: 1355–62. https://clck.ru/3TGFJJ</mixed-citation></citation-alternatives></ref><ref id="cit62"><label>62</label><citation-alternatives><mixed-citation xml:lang="ru">Lerner L.B., Stolzmann K.L., Gulla V.D. Birth trends and pregnancy complications among women urologists. J. Am. Coll. Surg. 2009; 208: 293–7. https://doi.org/10.1016/j.jamcollsurg.2008.10.012</mixed-citation><mixed-citation xml:lang="en">Lerner L.B., Stolzmann K.L., Gulla V.D. Birth trends and pregnancy complications among women urologists. J. Am. Coll. Surg. 2009; 208: 293–7. https://doi.org/10.1016/j.jamcollsurg.2008.10.012</mixed-citation></citation-alternatives></ref><ref id="cit63"><label>63</label><citation-alternatives><mixed-citation xml:lang="ru">Centers for Disease Control and Prevention. FastStats — infertility. Centers for Disease Control and Prevention. 2022. https://clck.ru/3TzmgF</mixed-citation><mixed-citation xml:lang="en">Centers for Disease Control and Prevention. FastStats — infertility. Centers for Disease Control and Prevention. 2022. https://clck.ru/3TzmgF</mixed-citation></citation-alternatives></ref><ref id="cit64"><label>64</label><citation-alternatives><mixed-citation xml:lang="ru">Todd A.R., Cawthorn T.R., Temple-Oberle C. Pregnancy and parenthood remain challenging during surgical residency: a systematic review. Acad. Med. 2020; 95(10): 1607–15. https://doi.org/10.1097/ACM.0000000000003351</mixed-citation><mixed-citation xml:lang="en">Todd A.R., Cawthorn T.R., Temple-Oberle C. Pregnancy and parenthood remain challenging during surgical residency: a systematic review. Acad. Med. 2020; 95(10): 1607–15. https://doi.org/10.1097/ACM.0000000000003351</mixed-citation></citation-alternatives></ref><ref id="cit65"><label>65</label><citation-alternatives><mixed-citation xml:lang="ru">Kassab J.G., Garcia Keeme-Sayre A., Lipshultz L.I. Physician infertility: a structured literature review. J. Assist. Reprod Genet. 2024; 41(9): 2227–2235. https://doi.org/10.1007/s10815-024-03216-4</mixed-citation><mixed-citation xml:lang="en">Kassab J.G., Garcia Keeme-Sayre A., Lipshultz L.I. Physician infertility: a structured literature review. J. Assist. Reprod Genet. 2024; 41(9): 2227–2235. https://doi.org/10.1007/s10815-024-03216-4</mixed-citation></citation-alternatives></ref><ref id="cit66"><label>66</label><citation-alternatives><mixed-citation xml:lang="ru">Association of American Medical Colleges. Active physicians by sex and specialty, 2017. https://clck.ru/3Tzmn7 (accessed: November 12, 2019).</mixed-citation><mixed-citation xml:lang="en">Association of American Medical Colleges. Active physicians by sex and specialty, 2017. https://clck.ru/3Tzmn7 (accessed: November 12, 2019).</mixed-citation></citation-alternatives></ref><ref id="cit67"><label>67</label><citation-alternatives><mixed-citation xml:lang="ru">Xepoleas M.D., Munabi N.C.O., Auslander A., Magee W.P., Yao C.A. The experiences of female surgeons around the world: a scoping review. Hum. Resour. Health. 2020; 18(1): 80. https://doi.org/10.1186/s12960-020-00526-3</mixed-citation><mixed-citation xml:lang="en">Xepoleas M.D., Munabi N.C.O., Auslander A., Magee W.P., Yao C.A. The experiences of female surgeons around the world: a scoping review. Hum. Resour. Health. 2020; 18(1): 80. https://doi.org/10.1186/s12960-020-00526-3</mixed-citation></citation-alternatives></ref><ref id="cit68"><label>68</label><citation-alternatives><mixed-citation xml:lang="ru">Мурашко М.А. Выступление на 24-м Всероссийском научно-практическом конгрессе «Скорая медицинская помощь — 2025». Министерство здравоохранения Российской Федерации. URL: https://clck.ru/3TzmqT (дата обращения: 31.10.2025).</mixed-citation><mixed-citation xml:lang="en">Murashko M. "Emergency medical care — 2025". 24th All-Russian scientific and practical congress. Ministerstvo Zdravookhraneniya Rossiiskoi Federatsii. (31 Oct 2025) https://clck.ru/3TzmqT (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit69"><label>69</label><citation-alternatives><mixed-citation xml:lang="ru">Семенова Н.В. и др. Гигиеническая оценка условий труда фельдшеров выездных бригад службы скорой медицинской помощи. Международный журнал прикладных и фундаментальных исследований. 2018; (4): 81–85. https://elibrary.ru/xpbwwd</mixed-citation><mixed-citation xml:lang="en">Semyonova N.V., Vyaltcin A.S., Zavyalova A.V., et al. Hygienic assessment of working conditions of paramedics in emergency medical service mobile teams. Mezhdunarodnyi Zhurnal Prikladnykh i Fundamentalnykh Issledovanii. 2018; (4): 81–85. https://elibrary.ru/xpbwwd (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit70"><label>70</label><citation-alternatives><mixed-citation xml:lang="ru">Ратушная Н.Ш. Интегральная оценка в дифференцированном подходе к изучению вредных и опасных условий труда медицинских работников ряда специальностей. Саратовский научно-медицинский журнал. 2024; 20(1): 56–60. https://elibrary.ru/qnwwwn</mixed-citation><mixed-citation xml:lang="en">Ratushnaya N.Sh. Integral assessment in a differentiated approach to harmful and hazardous working conditions in medical workers. Saratovskii Nauchno-Meditsinskii Zhurnal. 2024; 20(1): 56–60. https://elibrary.ru/qnwwwn (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit71"><label>71</label><citation-alternatives><mixed-citation xml:lang="ru">Красовский В.О., Карамова Л.М., Башарова Г.Р. Профессиональные риски здоровью персонала выездных бригад службы скорой медицинской помощи. Скорая медицинская помощь. 2020; 21(4): 17–23. https://doi.org/10.24884/2072-6716-2020-21-4-17-23 https://elibrary.ru/kaqphy</mixed-citation><mixed-citation xml:lang="en">Krasovskiy V.O., Karamova L.M., Basharova G.R. Occupational health risks in emergency medical service mobile teams. Skoraya Meditsinskaya Pomoshch. 2020; 21(4): 17–23. https://doi.org/10.24884/2072-6716-2020-21-4-17-23 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit72"><label>72</label><citation-alternatives><mixed-citation xml:lang="ru">Васильев А.В. Проблемы оценки сочетанного влияния шума и других физических факторов на здоровье человека. Известия Самарского научного центра Российской академии наук. 2012; 14(6): 158–165. https://elibrary.ru/pxwlxz</mixed-citation><mixed-citation xml:lang="en">Vasilev A.V. Problems of assessing combined effects of noise and other physical factors on human health. Izvestiya Samarskogo Nauchnogo Tsentra Rossiiskoi Akademii Nauk. 2012; 14(6): 158–165. https://elibrary.ru/pxwlxz (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit73"><label>73</label><citation-alternatives><mixed-citation xml:lang="ru">Буторин А.В., Демченко В.Г. Производственные и непроизводственные факторы, влияющие на здоровье работников городских станций скорой медицинской помощи города Омска. Медиаль. 2017; 2(20): 48–50. https://elibrary.ru/zsschj</mixed-citation><mixed-citation xml:lang="en">Butorin A.V., Demchenko V.G. Occupational and non-occupational factors affecting the health of workers at urban emergency medical stations in Omsk. Medial. 2017; 2(20): 48–50. https://elibrary.ru/zsschj (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit74"><label>74</label><citation-alternatives><mixed-citation xml:lang="ru">Болобонкина Т.А., Дементьев А.А. Сравнительная гигиеническая характеристика условий труда медицинских работников станций скорой медицинской помощи в современных условиях. Научно-медицинский вестник Центрального Черноземья. 2019; (77): 71–76. https://elibrary.ru/sfspbu</mixed-citation><mixed-citation xml:lang="en">Bolobonkina T.A., Dementyev A.A. Comparative hygienic characteristics of working conditions of emergency medical station staff in modern conditions. Nauchno-Meditsinskii Vestnik Tsentralnogo Chernozemya. 2019; (77): 71–76. https://elibrary.ru/sfspbu (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit75"><label>75</label><citation-alternatives><mixed-citation xml:lang="ru">Nevo T., Peleg R., Kaplan D.M., Freud T. Manifestations of verbal and physical violence towards doctors: a comparison between hospital and community doctors. BMC Health Serv. Res. 2019; 19(1): 888. https://doi.org/10.1186/s12913-019-4700-2</mixed-citation><mixed-citation xml:lang="en">Nevo T., Peleg R., Kaplan D.M., Freud T. Manifestations of verbal and physical violence towards doctors: a comparison between hospital and community doctors. BMC Health Serv. Res. 2019; 19(1): 888. https://doi.org/10.1186/s12913-019-4700-2</mixed-citation></citation-alternatives></ref><ref id="cit76"><label>76</label><citation-alternatives><mixed-citation xml:lang="ru">Корехова М.В., Новикова И.А., Соловьев А.Г. Профессиональный стресс в деятельности фельдшеров скорой медицинской помощи. Медицина труда и промышленная экология. 2019; 59(7): 417–423. https://doi.org/10.31089/1026-9428-2019-59-7-417-423</mixed-citation><mixed-citation xml:lang="en">Korekhova M.V., Novikova I.A., Soloviev A.G. Occupational stress in emergency medical service paramedics. Russian Journal of Occupational Health and Industrial Ecology [Med. truda i prom. ekol.]. 2019; 59(7): 417–423. https://doi.org/10.31089/1026-9428-2019-59-7-417-423 (in Russian).</mixed-citation></citation-alternatives></ref><ref id="cit77"><label>77</label><citation-alternatives><mixed-citation xml:lang="ru">Кухтина Е.Г., Соленова Л.Г., Федичкина Т.П. и др. Ночные смены и риск нарушения здоровья женщин. Гигиена и санитария. 2015; 94(5): 86–91. https://elibrary.ru/uduvnh</mixed-citation><mixed-citation xml:lang="en">Kuxtina E.G., Solenova L.G., Fedichkina T.P. et al. Night shift work and health disorder risk in female workers. Gigiena i sanitariya. 2015; 94(5): 86–91. https://elibrary.ru/uduvnh  (in Russian).</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
