Pregnancy outcomes in female physicians in procedural versus non-procedural specialties

Am J Surg. 2017 Oct;214(4):599-603. doi: 10.1016/j.amjsurg.2017.06.016. Epub 2017 Jun 24.

Abstract

Background: Procedural based medical specialties require a longer training period and more intensive physical demands. The impact of working in procedural versus nonprocedural fields on pregnancy outcomes is not well understood.

Methods: Data from 1559 US attending female physician mothers was gathered via an anonymous, IRB-approved online survey.

Results: Of the cohort, 400 (25.7%) reported practicing in a procedural field. Women in procedural fields were slightly older at the time of their most recent pregnancy. Rates of assistive reproductive technology use (procedural: 20.2% vs nonprocedural: 23.3%, P = 0.2), missing work during pregnancy (28.2% vs 24.5%, P = 0.13), cesarean delivery rate (36.0% vs 34.5%, P = 0.61), and missed work due to preterm labor (12.3% vs 12.5%, P = 0.91) were similar between the two groups.

Conclusion: Although proceduralists were more likely to delay pregnancy, women in procedural fields had comparable rates of reproductive assistance, cesarean delivery, and missed work due to pregnancy-related complications despite the perceived challenges facing this group.

Keywords: Infertility; Maternity outcomes; Physicians; Preterm labor.

MeSH terms

  • Adult
  • Female
  • Humans
  • Infant, Newborn
  • Medicine*
  • Physicians, Women*
  • Pregnancy
  • Pregnancy Outcome*
  • United States