Risk Factors for Major Pregnancy Complications in Female Cardiothoracic Surgeons.

IF 7.5 1区 医学 Q1 SURGERY Annals of surgery Pub Date : 2024-12-01 Epub Date: 2024-05-24 DOI:10.1097/SLA.0000000000006364
Anna Olds, Sameer Hirji, Manuel Castillo-Angeles, Lauren Kane, Jennifer Romano, Cynthia Herrington, Erika Rangel
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Abstract

Objective: To describe the incidence of and risk factors for pregnancy complications in female cardiothoracic surgeons compared with women of similar sociodemographic profiles.

Background: Female cardiothoracic surgeons often postpone childbearing, but little is known about their pregnancy outcomes.

Methods: In 2023, a self-administered survey was distributed to US cardiothoracic surgeons/trainees. Surgeons with ≥1 live birth were queried on maternal work hours during pregnancy and major antenatal pregnancy complications. Male surgeons answered on behalf of non-surgeon childbearing partners (female non-surgeons).

Results: The study included 255 surgeons (63.53% male; 36.47% female). Compared with female surgeons, male surgeons more often had partners who were not employed outside the home (25.64% vs 13.33%, P <0.001). Female surgeons were older than female non-surgeons at first live birth (34.49±4.41 vs 31.45±4.16, P <0.001), more often worked >60 h/wk during pregnancy (70.33% vs 14.08%, P <0.001), and more often had pregnancy complications (45.16% vs 27.16%, P =0.003; operating room (OR): 1.78, 95% CI: 1.01-3.13). Among female surgeons, 18.28% reduced work hours during pregnancy. During their third trimester, 54.84% worked >6 overnight calls/mo, and 72.04% operated >12 h/wk. Age ≥35 years (OR: 3.28, 95% CI: 1.27-8.45) and operating >12 h/wk during the third trimester (OR: 3.72, 95% CI: 1.04-13.30) were associated with pregnancy complications.

Conclusions: Female cardiothoracic surgeons are more likely to experience major pregnancy complications than non-surgeon partners of their male peers. Long operative hours during pregnancy and older maternal age are significant risk factors for pregnancy complications. To advance gender equity, policies to protect maternal-fetal health and facilitate childbearing during training and early career are needed.

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心胸外科女医生主要妊娠并发症的风险因素。
目的描述心胸外科女医生与具有相似社会人口学特征的女性相比,其妊娠并发症的发生率和风险因素:心胸外科女医生通常会推迟生育,但对她们的妊娠结局却知之甚少:方法:在 2023 年向美国心胸外科医生/实习生发放了一份自填式调查问卷。调查询问了活产≥1 例的外科医生孕期的工作时间和产前主要妊娠并发症。男外科医生代表非外科医生的育龄伴侣(非外科医生的女性)作答:研究包括 255 名外科医生(63.53% 为男性;36.47% 为女性)。与女外科医生相比,男外科医生的伴侣更经常不在家工作(25.64% 对 13.33%,怀孕期间每周工作 60 小时(70.33% 对 14.08%,每月通宵出诊 6 次,72.04% 每周工作 12 小时以上)。年龄35yrs(OR 3.28,95%CI 1.27-8.45)和怀孕三个月期间每周手术时间>12小时(OR 3.72,95%CI 1.04-13.30)与妊娠并发症有关:结论:与非外科医生的男性同行相比,心胸外科女医生更有可能出现重大妊娠并发症。妊娠期手术时间长和产妇年龄大是导致妊娠并发症的重要风险因素。为了促进性别平等,需要制定政策保护母胎健康,并在培训期间和职业生涯早期为生育提供便利。
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来源期刊
Annals of surgery
Annals of surgery 医学-外科
CiteScore
14.40
自引率
4.40%
发文量
687
审稿时长
4 months
期刊介绍: The Annals of Surgery is a renowned surgery journal, recognized globally for its extensive scholarly references. It serves as a valuable resource for the international medical community by disseminating knowledge regarding important developments in surgical science and practice. Surgeons regularly turn to the Annals of Surgery to stay updated on innovative practices and techniques. The journal also offers special editorial features such as "Advances in Surgical Technique," offering timely coverage of ongoing clinical issues. Additionally, the journal publishes monthly review articles that address the latest concerns in surgical practice.
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