Satisfaction of Women Urologists With Maternity Leave and Childbirth Timing

Lori B. Lerner · Robin J. Baltrushes · Kelly L. Stolzmann · Eric Garshick

65 citations0/0 files storedThe Journal of Urology

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Diversity and Career in Medicine Reproductive Health and Contraception Work-Family Balance Challenges

Abstract

PURPOSE: Women physicians must consider many conflicting issues when timing childbirth. We characterized maternity leave, breast-feeding practices and satisfaction associated with pregnancy timing in women urologists. MATERIALS AND METHODS: A 114-item anonymous survey including questions on maternity leave duration for firstborn children, workplace policies, attitudes and satisfaction was mailed to all 365 American board certified women urologists in May and July 2007. Logistic regression was used to identify factors associated with greater satisfaction. RESULTS: A total of 243 women urologists (69%) responded, of whom 158 had at least 1 biological child. Average maternal age at first birth was 32.6 years. Of the children 10%, 32% and 52% were born before, during and after residency, respectively. Only 42% of women reported the existence of a formal maternity leave policy. Of the women 70% took 8 weeks or less of leave. Those with 9 weeks or greater were 3.8 times more likely to report satisfaction (p = 0.001). Although women in practice were 2.0 times more likely to take 9 weeks or greater compared to those in training or earlier (p = 0.046), only 30% in practice took this much time. Dissatisfaction with leave was not related to birth timing (residency vs practice) or maternal age at delivery but to work/residency related issues in 69% of respondents, financial concerns in 13% and personal/other in 18%. For breast-feeding 67% of respondents were satisfied with the duration and 22% were not. Dissatisfaction was secondary to work factors. CONCLUSIONS: Satisfaction with leave was related to the amount of maternity leave with women with 9 weeks or greater more likely to report satisfaction. Women in practice were more likely to take 9 weeks or greater but most did not due to strong stressors related to work, partners/peers or finances. Work factors were cited for dissatisfaction with breast-feeding.

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References

2008Birth Trends and Pregnancy Complications among Women Urologists 2004The Gender Gap in a Surgical Subspecialty 1997Plastic Surgeons: A Gender Comparison 1993Women Surgeons Results of the Canadian Population Study 1995The Pregnant Plastic Surgical Resident

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2019Family Leave and Return-to-Work Experiences of Physician Mothers 2021Pregnancy in physicians: A scoping review 2021Challenges and Solutions for Physician Mothers: A Critical Review of the Literature 2019The Impact of Plastic Surgery Training on Family Planning and Prenatal Health 2019Strategies for Attracting Women and Underrepresented Minorities in Urology 2017Impact of Procedural Training on Pregnancy Outcomes and Career Satisfaction in Female Postgraduate Medical Trainees in the United States 2011Pregnancy among residents enrolled in general surgery (PREGS): a survey of residents in a single Canadian training program 2022The Experiences of Motherhood in Female Surgeons

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