Active Labor Research Articles

Features of overtime work payment by medical organizations

The problem of rationing the volume of labor activity is one of the urgent for medical workers. Questions regarding the duration of working hours for doctors of various specialties cause difficulties for both the workers themselves and for economists and accountants. One of the greatest difficulties from the point of view of domestic labor and tax legislation is caused by the aspects of registration and accounting in the calculation and reporting documentation of work performed in excess of the normal number of working hours, which is very common in the field of medicine — it is impossible to accurately schedule the time of work of medical personnel with each patient. This article discusses the specifics of recording and processing overtime work in the healthcare sector in compliance with accounting requirements and principles. In accordance with Article 99 of the Labor Code of the Russian Federation, key legal norms, organizational aspects, and methods of registration of overtime hours worked by employees of medical organizations are outlined and analyzed. On specific theoretical provisions and practical examples, the authors explore the processes of personnel and accounting for overtime work and specifics, proposing possible ways to regulate the process of accounting and tariffication of employees in accordance with the accounting policy of medical organizations.

A life marked by early school leaving: gendered working life paths linked to health and well-being over 40 years

BackgroundThere is increasing awareness of the need to analyse symptoms of mental ill-health among early school leavers. Dropping out of compulsory education limits access to the labour market and education and could be related to deteriorating mental health over the course of a lifetime. The aim of this longitudinal study is to explore how early school leavers not in education, employment or training (NEET) narrate their working life trajectories linked to health, agency and gender relations.MethodsTwelve early school leavers in the Swedish Northern Cohort (six women and six men) were interviewed over 40 years about their working life and health. Their life stories were analysed using structural narrative analysis to examine the evolution of their working life paths and to identify commonalities, variations and gendered patterns.ResultsAll the participants started in the same position of “an unhealthy gendered working life in youth due to NEET status”. Subsequently, three distinct working life paths evolved: “a precarious gendered working life with negative health implications”, “a stable gendered working life in health challenging jobs” and “a self-realising gendered working life with improved health”. Agency was negotiated through struggle narratives, survival narratives, coping narratives and redemption narratives.ConclusionsEven in a welfare regime like Sweden’s in the early 1980s, early school leavers not in education, employment or training experienced class-related and gendered working and living conditions, which created unequal conditions for health. Despite Sweden’s active labour market policies and their own practices of agency, the participants still ended up NEET and with precarious working life paths. Labour market policies should prioritise reducing unemployment, combating precarious employment, creating job opportunities, providing training and subsidised employment in healthy environments, and offering grants to re-enter further education. Our study highlights the need for further analyses of the contextual and gendered expressions of health among early school leavers throughout their lifetime, and of individual agency in various contexts for overcoming adversities.

Job training in polarizing job markets: A longitudinal analysis using administrative microdata

AbstractDeveloped nations have experienced a longstanding trend of reshaping the labour market's occupational structure. This trend, named job market polarization, describes how middle‐level jobs have decreased their relative share of the labour market in favour of high‐ and low‐complexity jobs. The literature has pointed to technological change as the main factor in setting this configuration, which accompanied the transition to a knowledge economy as a source of competitive advantages. Still, the narratives of technological change are anchored to specific technologies and times that do not fit the emerging challenges of the fourth industrial revolution and the increasing relevance of the digital economy. In this paper, I explore how job polarization dynamics have interacted with active labour market policies' effectiveness by focusing on job training skill premiums. I use nationally representative data to evaluate cross‐sectionally and longitudinally the relationship between job training access, job polarization, and wages. The results show that polarization poses a wage penalty while it increases the relative value of training skill premium. I discuss how the setting of a polarized market could be considered for future skill‐based interventions concerning digital technologies.

Stimulation of labor activity as a natural form of realization of the legitimate interests of a working person

Stimulation of labor activity as a natural form of realization of the legitimate interests of a working person

Addressing Rural Poverty, Efficacy of MGNREGA and Migration Against Agricultural Productivity: Case of Kalahandi, India

ABSTRACT Poverty remains a major challenge for the countries of the global south. Decent employment opportunity, a crucial determinant of poverty reduction, is increasingly becoming elusive for those countries regardless of a decent rate of economic growth. There is a growing separation of economic growth and employment growth under the aegis of neo-liberal economic policies. Economic growth, instead of becoming inclusive, turns out to be “jobless” or “job loss.” Failing to reverse this trend, “Active Labour Market Policies” (ALMPs) in the form of “Public Works Programmes” (PWPs) have emerged as a major strategy to reduce unemployment and poverty. Secondly, rural–urban migration is very much relied upon for the same. Raising agricultural productivity, a crucial question of “agrarian transition,” well evident and verified across the globe, is, however, becoming oblivion in the fight against poverty. In this context, based on a primary survey of 300 households in the poorest regions of India, this paper endeavors to investigate the relative strength of MGNREGA (Mahatma Gandhi National Rural Employment Guarantee Act), rural–urban migration, and land productivity on poverty. The study suggests that an agrarian-centric intervention is more effective in dealing with poverty as compared to MGNREGA (ALMPs) and migration.

Macroeconomic determinants of enterprise births in European countries: The moderating role of human capital in the unemployment structure

Research background: While micro-level studies evidence that unemployment increases the probability of being self-employed, the findings at the macro-scale are ambiguous. At the macroscale, the unemployment push mechanism is further conditioned by cyclical fluctuations and industry-specific characteristics. Most studies, however, have neglected the heterogeneity of the group of unemployed, which could also be behind the disparate results. Purpose of the article: In filling this gap, the study aims to examine the links between the unemployment rate and enterprise births, while considering the unemployment structure in terms of the human capital of the unemployed and the unemployment duration. Methods: The issue is examined using the example of 20 European countries in the period 2004–2020. The fixed- and random-effects panel models were applied. The sectoral diversity of entrepreneurial activity (manufacturing, wholesaling and retailing, professional and scientific activities, ICT), and the size class of the newly established enterprises (with/without employees) are also considered. Findings & value added: The study reveals that the share of long-term unemployment and the skill structure of the unemployed have an impact on new firm formation, which varies with the knowledge intensity of the start-ups and their size. A higher share of highly qualified unemployed increases the start-up rates, particularly in knowledge-intensive services and manufacturing. A higher share of long-term unemployed has a negative impact on enterprise births, specifically in new businesses with employees. The findings are important for designing effective instruments to address unemployment by entrepreneurship within active labour market policy.

The state of female reproductive health in a city with a large petrochemical complex

Introduction. The demographic situation in the country is characterized by a natural decline in the population, which determines the special importance of the protection of motherhood and childhood. The system of obstetrics largely affects the health status of the population and the future generation. Therefore, the study of the state of obstetrics has a high social significance and is relevant. Purpose of the study. To assess the state of female reproductive health of the population living in a city with a large petrochemical complex. Materials and methods. An analysis of primary digital data characterizing the intensive and extensive indicators of the state of obstetric care in the city of Salavat for 2020 was performed. According to the report of the Ministry of Health of the Republic of Bashkortostan “The state of health of the population and the activities of medical institutions of the Republic of Bashkortostan in 2020” a comparative analysis was carried out. Results. An analysis of the state of obstetric care in the city of Salavat showed that women began to give birth less, they interrupted one third of the onset of pregnancies with abortions. The number of abortions per 1,000 women of childbearing age is 1.5 times higher than in the republic. Over the years, the number of abortions is growing against the background of their decline in the republic. Women who wish to give birth in the vast majority come under the supervision of an antenatal clinic until the 12-week gestation period. The results of the course of pregnancy, childbirth, and the postpartum period, the absence of maternal mortality indicate to a high level of obstetric care. However, he draws attention to the fact that 45.6±1.5% of deliveries and the postpartum period proceeded against the background of complications, among which the most significant were anemia, premature rupture of the amniotic membrane, and violations of labour activity. Every third woman in labour underwent a caesarean section, every fifth - vacuum extraction. The health indicators of the fetus and newborn in the trend in years are improving and more favourable than in the republic as a whole, but 58.9±1.3% of neonates were born sick and fell ill. Mainly in the form of asphyxia during childbirth (18.6±1.2%) and infectious diseases (39.5±4.4%). Preterm infants get sick 2 times more often than full-term ones and the main reason is asphyxia during delivery and respiratory disorders over the perinatal period. Limitations. The analysis of the primary digital values of obstetric care indicators of the forms of federal statistical observation and accounting of medical institutions in Salavat for 2020 was carried out. Conclusion. More favourable health indicators of pregnant women, mothers, fetuses in Salavat in comparison with republican and all-Russian ones indicate to the high-quality, qualified obstetric care. The higher incidence of respiratory diseases in infants during the first year of life living in a city of large petrochemistry determines the need for special in-depth studies.

Ageing risks in four Asian Tigers: global health crisis and implications for productive welfare regimes

PurposeThis article focuses on the continuity and changes in the Productive Welfare Regimes and investigates how the COVID-19 pandemic and population ageing can influence the established systems in Hong Kong, South Korea, Singapore and Taiwan.Design/methodology/approachOur research is based on document review, investigating intricate situations with numerous aspects and providing an excellent opportunity for innovation and examining theoretical presumptions in welfare regime theory, as well as exploring the complicated policy trajectories that varies among cases.FindingsOur findings reveal that social policy responses to COVID-19 have been characterized by adopting the market-conforming role of social policy for the elderly. This is shown by many policy measures focusing on self-sufficiency and an active labour market, signalling that the COVID-19 pandemic and population ageing pressure here are viewed as an economic issue over social rights. The economic-first was adopted to maintain their proximity to the global economy as key sources of their social policy development. We can conclude by emphasizing that the responses to COVID-19 have exposed deficiencies in certain existing social policies. Yet, they have not been sufficient to catalyse substantial policy changes across domains where such change had not already been initiated, thus allowing welfare regimes to remain within productivist boundaries.Originality/valueThis study responds to the current debate on the welfare regime continuity and adaptation in East Asia and suggests a new perspective of policy process in the times of insecurity.

Flexicurity and employment inflows in the EU28 countries: a panel data analysis

PurposeThis paper examines the relationship between flexicurity and employment inflows in the EU28 countries over the 2007–2019 period. Flexicurity is defined as the mix of flexible contractual arrangements, social security systems, active labor market policies and lifelong learning strategies.Design/methodology/approachUsing two-way fixed effects two-stage least squares, we estimate the employment inflows as a function of an equal-weighted flexicurity composite indicator and other labor market, economic and business environment characteristics. To ensure the robustness of results, in additional specifications, we test the sensitivity of the flexicurity’s coefficient to: (1) the change of instruments; (2) the removal of different non-core variables and (3) the consideration of recessionary periods European regions. In addition, we estimate regressions with separate flexicurity components and with differently constructed flexicurity indices.FindingsIn all the estimations, increased flexicurity efforts are positively related to employment inflows. Increased flexicurity efforts benefit Eastern European countries more than the Northern and Anglo-Saxon groups. Not only a synergistic policy action that uses an equal combination of the four pillars of flexicurity has a positive impact on the employment inflow rate. Strategies that give more weight to the formation of skills seem to favor the labor market reinsertion most.Originality/valueTo our knowledge, this is the first comprehensive study in the flexicurity–employment inflows literature since it: (1) follows all the European Union countries over more than a decade; (2) brings some tentative findings on the socio-cultural moderation of flexicurity’s impact on employment inflows and (3) explores different country-level flexicurity indices.

YENİYETMƏ MƏKTƏBLİLƏRİN SOSİALLAŞMASI

Socialization of Teens of School for Summary Article deals with the research of school’s social effectiveness are not high enough. There is considerable discrepancy between the formal level of education and the actual level. The social effectiveness of education not only depends on the amount and quality of the knowledge people receive, but also their degree of application, the practical realization of people's labor and social activities. Education is both symbolic and practical. The practical significance of education is reflected in specific knowledge, skills and abilities. Symbolism appears in the public domain of education. Key words: socialization of education, conflict-emotional relations, teenage identity formation, “imitation” and “dentification” mechanisms, socialization

The Spatial Structure of the Moscow Metropolis

Due to the scale of population and economic concentration, Moscow is a mega-polis forming a vast zone of influence around itself. The accumulated economic and financial potential of the capital, as well as its huge consumer demand, consistently act as the most important factors in the development of the surrounding regions of the Non-Chernozem region. These regions can be considered as the periphery of the Moscow Metropolis, a supra-agglomeration spatial structure developing around Moscow. During the post-Soviet period, there has been a steady trend towards the centralization of demographic, economic and investment resources in Moscow and the Moscow region. Active population growth, investment penetration and active suburbanization in the 50-60-kilometer zone closest to Moscow are taking place against the background of socio-economic depression in rural areas, small and medium-sized urban centers in areas more remote from the capital. Today, Moscow and the 60-kilometer zone around it concentrate 65% of the metropolitan population, as well as over 80% of its gross product and investments in fixed assets. This is also the zone of active daily pendulum labor migrations to Moscow (up to 1.5 million people daily), which are carried out by 15 to 60% of the total able-bodied population living here. Along with this, there are prerequisites for promising development as part of the metropolis and more remote territories. In particular, there is an integration of regional labor markets with Moscow, through alternative work formats – over a million residents of the periphery are othodniki (shift workers), remote and hybrid employment is widespread. An important factor in the socio-economic development of the “bloodless” rural area of the peripheral metropolis is the filling of its 4 million summer residents in the summer season. Thus, joining the Moscow Metropolis of the regions surrounding the capital, along with risks, creates unique integration opportunities for them and sets a strategic vector for their spatial development.

The influence of work activity on the duration and quality of life of older people (analytical review)

The problems of optimal participation in labor activity of people of older age groups are considered. The dynamics of demographic aging are characterized by duality: against the background of chronological aging, biological rejuvenation of the world's population occurs, which significantly increases human potential. We must move away from erroneous ideas about older age as a period of “sluggish living”; on the contrary, this age provides a person with the opportunity to live a highly productive life. It can be reasonably argued that the older generation today has become more mobile and socially active. Global trends in the transformation of the labor market demonstrate a gradual shift in the employment structure towards older ages. Labor is the basis for the social self-realization of older people and a condition for prolonging active life. The average life expectancy of pensioners who remain active is significantly higher than those who have stopped working. Labor is the most powerful geroprotector! Protecting the physiological state of intelligence in old age is the main task of gerontology and geriatrics. We need to be very critical of current ideas about the degradation of intelligence in old age. The process of intellectual development of a person of mental labor is fundamentally limitless - this is the main way of his existence as an individual. The level of education has a significant impact on life expectancy. People with higher levels of education have lower mortality rates and longer life expectancy. The dominant models of the social status of older people forcefully pushes the elderly person out into “well-deserved rest.” The introduction of a mandatory retirement (“disabled”) age for everyone means that the legislator declares the experience accumulated by older people to have lost social significance. This attitude is a factor in the growth of social tension and impedes the formation of social cohesion, gives rise to a social trend of age discrimination - “ageism”, which manifests itself, in particular,in difficulties in finding a job and in the reduced level of wages for older people. As a result, over the past decade, the number of working pensioners in Russia and the duration of their period of work after retirement have decreased significantly. It is necessary to create a long-term doctrine of the work activity of older people.

Profiles of child labour: prevalence, activities, contexts, and children’s harm extent in Raya-Kobo and Angot Districts, Ethiopia

Using a mixed research design, the overall objective of this study is to investigate the profiles of child labour in Ethiopia’s districts of Raya-Kobo and Angot. The study’s specific objectives are to examine types of activities and prevalence of child labour, to identify the children’s working contexts, and to evaluate the extent of harm children face in workplaces. The study hypothesizes the existence of significant variations in the profiles of child labour (activity types, prevalence rates, settings, and level of harm to children) as a result of several circumstances. While survey methodology was used to collect primary data from 431 randomly selected respondents, desk review and document analysis were also used to gather secondary data. The sampling procedures used include multi-stage purposive and systematic random sampling. Descriptive and inferential (Ordered Probit Regression model) methods of data analysis are utilized to analyze the data. The results of the descriptive analysis demonstrate a high incidence and magnitude of child labour, as well as children’s early entry to work. The regression analysis reveals children’s exposure to high levels of harm at work, which is directly exacerbated by household age, income diversification, land fragmentation, livestock number, shocks, and the predicted value of remittances. Contrarily, access to rural transportation, household heads’ education level, cart ownership, and family size reduce children’s harm extent while working. The study highlights the need to design strategies for age-appropriate work to protect children from hazardous and high-intensity activities, undertake community awareness campaigns about the impact of child labour on children, and strengthen local stakeholders’ capacity. Additionally, connecting rural areas and farmers’ croplands to towns or major routes via repaired or new roads would be beneficial.

Professional loyalty and social mobility of young professionals

Introduction. Professional education in the modern information society acquires new meanings and value orientations. This is explained by the fact that increasing investment in human potential and ensuring due quality of education create a serious foundation for the formation of social mobility. At the same time, its connection with professional loyalty requires a separate conceptualisation and creation of a necessary empirical basis for assessing the economic resource and corporate responsibility and ensuring proper investments in human resource development. The purpose of the study is to reveal the main characteristics of young specialists’ professional loyalty with regard to ensuring their effective inclusion in the system of social and labour relations. Materials and methods. The online survey involved young (under the age of 35) teachers of pedagogical universities of some CIS countries (Armenia, Belarus, Kazakhstan, Kyrgyzstan, Russia, Tajikistan, Uzbekistan). The all-Russian sample covered in total 1,295 respondents. The analysis of empirical data was based on the methods of descriptive statistics and systematisation of data on young teachers’ ambitions in terms of professional prospects. Results. The findings of the survey point to the acceptable conditions for professional growth, as viewed by many young teachers (64%). The young people’s satisfaction with their labour activity was 73%. The probability of young teachers’ voluntary dismissal decreases with their increased length of service at universities. The share of young teachers intending to link their professional activity with the university in the next 3-5 years was 73%. Conclusion. Young specialists’ professional loyalty directly conditions their success in their profile labour activities. Young specialists who develop the necessary positive attitudes and competencies in the process of their education will in most cases be more flexible at the workplace and have a higher social mobility level. In this regard, investments in professional education can be justified if young professionals have a necessary mobility potential allowing them to successfully adapt to the labour market.

Anger, Guilt, and Fearful Hope: Prioritizing Emotion in University Labor Activism

Anger, Guilt, and Fearful Hope: Prioritizing Emotion in University Labor Activism

Evolvement of new professions in the sphere of career guidance as an imperative of our time

Introduction. The current situation with the employment of graduates, when almost half of them do not work in their speciality, is a negative phenomenon for both the state and the citizens. One of the reasons for this situation is a gap between the graduates’ expectations and the real content of labour activity. The core of the problem is inefficient career guidance. The need to modernise the career guidance system is recognised worldwide. Forecasting of new professions for career guidance should be one of the directions of this modernisation. Specialists having new competencies will be able to ensure the systemic and planned nature of transformations in the sphere of career guidance in order to optimise it. The aim of the study is to justify the need for and predict the emergence of new professions to improve the efficiency of career guidance. Materials and methods. The study involved the materials of the European Training Foundation, the World Economic Forum; the documents of the Ministry of Education of the Russian Federation: letters, orders, methodological recommendations; the data of the Russian Federal State Statistics Service; scientific articles by Russian and foreign authors. The following methods were used: theoretical analysis of the career guidance development sphere; inductive inferencing; forecasting based on the study of documents and scientific literature on the problem. Results. At present, there is a problem connected with the professional training of specialists engaged in career guidance. People with education in the fields of pedagogy, psychology, sociology and social work are not able to efficiently solve the numerous tasks of modern career counselling. The solution can be achieved by the introduction of new specialisations of employees in this sphere matching the needs of modernity and development trends. It is predicted that these specialisations will be transformed into new professions in the future. For instance, such new professions for career counselling as career research foresighter (prognosticator), career guidance playwork specialist, career guidance testing specialist and developer, career guidance imagemaker, etc. will presumably appear. Conclusion. The modernisation of the career guidance system requires innovations not only in its content and technical fit-out but also in its staffing. The research results can be further used in the process of development of new qualification requirements; for substantiation of proposals on training specialists in upand-coming professions in the sphere of career guidance. They can also serve as a basis for the development of training programmes in new specialities.

FARM LABORERS TOWARDS THE MIDDLE CLASS: THE AMAK AWAK GROUP IN NAGARI LABUAH GUNUANG KEC. LAREH SAGO HALABAN, WEST SUMATRA 1980-2015

The emergence of farm laborers in Nagari Labuah Gunuang has been going on since early 1949. Their presence was related to the lack of agricultural production, which affected the economic survival of their families. From 1960 to 1966, the survival of the laborers' families was tested again. Women who were previously engaged in the domestic sector, then shared work with their husbands by doing labor. The method used in this research is the historical method which consists of heuristics (data collection), source criticism, interpretation, and historiography. The purpose of this research is to see the activities and influence of the Amak Awak group in family resilience. The results of the research obtained that the women's labor group formed since 1980, then legalized as Amak Awak (2011) had an impact on the economic conditions of their families. They initially only worked in the agricultural sector, but also in animal husbandry. In fact, from their labor activities, they were able to buy 1 hectare of land, which they cultivated and enjoyed the results for the common good. They are no longer in the lower class, but have entered the middle class.

Impact of Sacral Lumbal Massage on Pain and Head Decline During First Stage of Labor

Introduction: Labor pain varies in intensity, with many women experiencing high levels during delivery. This study aims to evaluate the effectiveness of sacral massage on pain intensity and fetal head descent during the first stage of labor. Method: A quantitative study was conducted with a sample of laboring mothers divided into intervention and control groups. Participants were selected using purposive sampling, with criteria including mothers aged 20-35 years, active first-stage labor, good maternal and fetal health, cephalic presentation, and uncomplicated labor. The intervention involved lumbar-sacral massage for 20 minutes, repeated once, with intervals of 5-10 minutes. The control group received relaxation through breathing exercises. The study took place from January to March 2024. Data were analyzed using the Wilcoxon and t-tests with a significance level of 0.05. Results: The intervention group significantly reduced labor pain (pre: 6.90, post: 3.70, p=0.000). There was no significant difference in fetal head descent duration between groups (p = 0.05). Conclusion: Lumbar sacral massage is an effective non-pharmacological method for reducing labor pain and is recommended for pain management in midwifery practice.

Prognostic factors for the development of obstetric and perinatal pathology in pregnant women under conditions of iodine deficiency

According to the World Health Organization (WHO), iodine deficiency is the main cause of mental retardation in children, and at the same time, it significantly affects the pathological course of pregnancy and childbirth. The problem is complicated by the fact that more than 100.000 children with cretinism are born annually in the world. In recent years, there has been a significant increase in endemic thyroid diseases in Ukraine, the main cause of which is insufficient iodine consumption. Iodine deficiency conditions are aggravated by socio‑economic, ecological and radiological factors, while at the same time mass and group iodine prophylaxis is carried out improperly on the state level. Objective. To determine prognostic factors for the development of obstetric and perinatal pathology in pregnant women under conditions of iodine deficiency. Materials and methods. To compile a diagnostic table of prognostic factors of the threat of miscarriage, the analysis has been performed of 185 cases of threatened abortion (111 in the first trimester, 56 in the second, 18 in the third) and 223 control observations (without the threat of miscarriage). A diagnosis was considered as confirmed if it was established using all applicable methods of examination of pregnant women. Results. The risk factors of the occurrence of perinatal pathology include hypothyroxinemia (DC=–2.5) and ioduria in pregnant women less than 100 mg/l (DC=–1.9). In the intranatal period, a negative impact is exerted by the lack of coordination and weakness of labor activity (DC=–8.1). Levels of thyroid‑stimulating hormone (TSH) in umbilical cord blood >10 mIU/ml (DC=–4.6) are the prognostically favorable factors for the postnatal adaptation of the newborn, especially TSH levels >20 mIU/ml (DC=–8.3). Conduction of iodine prophylaxis (DC=7.7) and ioduria in pregnant women 200—400 mg/l (DC=5.1) contribute to the improvement of perinatal outcomes. Conclusions. A retrospective review of the prognostic significance of the diagnostic table in 188 patients with diffuse nontoxic goiter revealed its sensitivity (76%) and specificity (68%). On the basis of the conducted research, we established risk factors for the development of obstetric and perinatal complications, and assessed their informativeness. The developed algorithm is represented by a diagnostic table for the prediction of complications of pregnancy, childbirth and adverse perinatal outcomes in women with endemic thyropathies.

Peripartum Torpor: A Chilling Case Report and Review of the Literature

Purpose: To report a rare case of peripartum maternal hypothermia and bradycardia. Methods: Case report. Results: Torpor is a transient state of hibernation with hypothermia and bradycardia. Hypothermia is defined as an abnormally low core body temperature less than 36°C.1 Sinus bradycardia is defined as less than 60 beats/min. While occasionally hypothermia or bradycardia is seen in obstetric patients undergoing vaginal delivery, when combined together, it can be a rare, life-threatening state that requires prompt intervention to prevent adverse maternal and fetal outcomes. A 23 year-old G2P0102 at 33+3 weeks of gestation was admitted to the high risk obstetric service for preterm labor complicated by fetal growth restriction. She had a history of preeclampsia in a previous pregnancy, but otherwise denied any chronic medical problems. Upon arrival, her vital signs showed a temperature of 37°C, a pulse of 53 bpm, and blood pressure of 126/62 mmHg. Her white blood cell count was 12.4 x 109/L and hemoglobin was 11.3 g/dL. She received betamethasone for fetal lung maturity and penicillin for Group B streptococcus prophylaxis. As her cervix continued to dilate, she received an epidural for pain management. Once she was in active labor, she became bradycardic with a pulse in the 30s-40s bpm, as confirmed by EKG. She was completely asymptomatic at this time, and fetal heart tones were reassuring with a baseline between 110’s-130’s bpm. She delivered vaginally with 150 mL of estimated blood loss, and her bradycardia continued postpartum even after the epidural was discontinued. When she complained of feeling cold, multiple attempts with different oral and axillary thermometers could not obtain a reading. She was warmed with forced-air warming blankets, warmed blankets, and hot packs in her groin and axilla. During this time, discussion with the NICU staff revealed that her baby was also hypothermic at 33.3°C and hypoglycemic at 28 mg/dL at birth. Other than feeling cold, the patient continued to be asymptomatic despite hypotension and bradycardia. She appeared somnolent but was responsive to questions. Her uterus was firm with minimal vaginal bleeding and no purulent or foul-smelling vaginal discharge. Repeat laboratory testing revealed a white blood count of 19 x 109/L and lactate was 3.3 mmol/L. Her comprehensive metabolic panel was unremarkable. A chest x-ray was clear. A C-reactive protein was < 0.3 mg/dL and sedimentation rate was 14 mm/h. A rectal continuous thermometer was placed, which eventually recorded a temperature at 33.3°C and upon recheck was 31.7°C. A multidisciplinary team, including Anesthesia, Internal Medicine, and Neurology, evaluated the patient due to concern for a central nervous system insult. She received fluid resuscitation and broad-spectrum antibiotics for sepsis protocol. Due to the concern for potential septic shock, the decision was made to transport her to the Medical ICU for further management. As she was leaving Labor & Delivery, her temperature had increased to 36.9°C and her pulse to 61. Thyroid studies the next day revealed a normal Free T4 of 1.00 ng/dL and a high thyroid stimulating hormone level of 9.55 uIU/mL. However, despite an extensive workup, no clear etiology of her hypothermia and bradycardia was identified. Intervention with fluids and application of forced-air warming system resolved the hypothermia in less than 6 hours without relapse. Antibiotics were discontinued after one day due to low suspicion for systemic infection. She remained vitally stable and was discharged on postpartum day 2 without further complications. Conclusions: Maternal hypothermia is relatively common during cesarean delivery; however, very few cases report maternal hypothermia during vaginal delivery. An English language literature search for maternal hypothermia during vaginal delivery yielded less than 10 case reports – few of which identified a cause of the hypothermia – and none of which reported simultaneous maternal bradycardia. While our case is a very rare presentation and the etiology is still unknown, it highlights the importance of prompt recognition of vital sign derangements in peripartum patients as well as multidisciplinary attention.