Risk assessment and management of chemical hazards for pregnant workers: a qualitative review of guidance from EU member states

Abstract Background Exposure to workplace chemicals can pose serious risks to reproductive health. The European Union’s Pregnant Workers Directive requires risk assessments but lacks clear guidelines for assessing chemical reproductive hazards in workplaces. Aims This study aims to review how EU mem...

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Main Authors: Thomas Claessens, Karin Sørig Hougaard, Steven Ronsmans
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Journal of Occupational Medicine and Toxicology
Online Access:https://doi.org/10.1186/s12995-025-00456-7
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author Thomas Claessens
Karin Sørig Hougaard
Steven Ronsmans
author_facet Thomas Claessens
Karin Sørig Hougaard
Steven Ronsmans
author_sort Thomas Claessens
collection DOAJ
description Abstract Background Exposure to workplace chemicals can pose serious risks to reproductive health. The European Union’s Pregnant Workers Directive requires risk assessments but lacks clear guidelines for assessing chemical reproductive hazards in workplaces. Aims This study aims to review how EU member states implement the Pregnant Workers Directive by analysing national guidance documents and relevant literature. Methods A qualitative review was conducted, combining a systematic literature search with outreach to EU national experts to gather relevant guidance documents. Thematic synthesis identified guiding principles for implementing maternity protection for chemical exposures. Results Two main themes were identified: the need for a broad perspective and for certainty in risk assessment. The broad perspective stresses the importance of considering all reproductive hazards, not limited to those listed in the EU Directive and inclusion of male workers and the preconception period, and the potential adverse socio-economic consequences of applied protective measures. The need for certainty highlights the challenges in reliable risk assessments, due to lack of knowledge about chemicals’ hazardous properties, dose-response relationships and the level of worker exposure. These themes reveal the complexity of implementing effective maternity protection and the need for improved guidelines across the EU. Conclusions This study calls for a unified approach to reproductive health protection, extending beyond pregnancy to include also preconception and paternal exposures. The findings highlight the need to support practitioners in the risk assess process at workplaces in the EU by providing a framework for the assessment of reproductive hazards and determining protective measures.
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spelling doaj-art-032e4c4707dd459a8141a3a9367f73072025-08-20T03:08:12ZengBMCJournal of Occupational Medicine and Toxicology1745-66732025-04-0120111210.1186/s12995-025-00456-7Risk assessment and management of chemical hazards for pregnant workers: a qualitative review of guidance from EU member statesThomas Claessens0Karin Sørig Hougaard1Steven Ronsmans2Department of Public Health and Primary Care, Centre for Environment and Health, KU LeuvenNational Research Centre for the Working EnvironmentDepartment of Public Health and Primary Care, Centre for Environment and Health, KU LeuvenAbstract Background Exposure to workplace chemicals can pose serious risks to reproductive health. The European Union’s Pregnant Workers Directive requires risk assessments but lacks clear guidelines for assessing chemical reproductive hazards in workplaces. Aims This study aims to review how EU member states implement the Pregnant Workers Directive by analysing national guidance documents and relevant literature. Methods A qualitative review was conducted, combining a systematic literature search with outreach to EU national experts to gather relevant guidance documents. Thematic synthesis identified guiding principles for implementing maternity protection for chemical exposures. Results Two main themes were identified: the need for a broad perspective and for certainty in risk assessment. The broad perspective stresses the importance of considering all reproductive hazards, not limited to those listed in the EU Directive and inclusion of male workers and the preconception period, and the potential adverse socio-economic consequences of applied protective measures. The need for certainty highlights the challenges in reliable risk assessments, due to lack of knowledge about chemicals’ hazardous properties, dose-response relationships and the level of worker exposure. These themes reveal the complexity of implementing effective maternity protection and the need for improved guidelines across the EU. Conclusions This study calls for a unified approach to reproductive health protection, extending beyond pregnancy to include also preconception and paternal exposures. The findings highlight the need to support practitioners in the risk assess process at workplaces in the EU by providing a framework for the assessment of reproductive hazards and determining protective measures.https://doi.org/10.1186/s12995-025-00456-7
spellingShingle Thomas Claessens
Karin Sørig Hougaard
Steven Ronsmans
Risk assessment and management of chemical hazards for pregnant workers: a qualitative review of guidance from EU member states
Journal of Occupational Medicine and Toxicology
title Risk assessment and management of chemical hazards for pregnant workers: a qualitative review of guidance from EU member states
title_full Risk assessment and management of chemical hazards for pregnant workers: a qualitative review of guidance from EU member states
title_fullStr Risk assessment and management of chemical hazards for pregnant workers: a qualitative review of guidance from EU member states
title_full_unstemmed Risk assessment and management of chemical hazards for pregnant workers: a qualitative review of guidance from EU member states
title_short Risk assessment and management of chemical hazards for pregnant workers: a qualitative review of guidance from EU member states
title_sort risk assessment and management of chemical hazards for pregnant workers a qualitative review of guidance from eu member states
url https://doi.org/10.1186/s12995-025-00456-7
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AT stevenronsmans riskassessmentandmanagementofchemicalhazardsforpregnantworkersaqualitativereviewofguidancefromeumemberstates