Female Surgeons and Physicians Experience Greater Infertility Rates and Pregnancy Complications Than Other Professional Women

Marina A. Lentskevich · kaleem sohail Ahmed · Erika L. Rangel · Arun Kumar Gosain

10 citations0/0 files storedThe American Surgeon

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Diversity and Career in Medicine Reproductive Health and Contraception Reproductive Health and Technologies

Abstract

Background Long years of school/training have shown to be associated with infertility and pregnancy complications. Rates of infertility and pregnancy complications were compared among women in demanding professional careers to better understand career differences impacting family planning. Methods Inclusion criteria : English-speaking, childbearing professional women in surgery, medicine, law, and engineering. Exclusion criteria: men and women not in professional careers mentioned and non-childbearing women. Male-dominated fields identified to select non-medical female professionals. Top medical, law, and engineering schools’ female faculty were surveyed from October 2022 to December 2022. Descriptive analysis and chi-squared tests were performed. Results 2302 surveys were distributed and 268 responses were obtained (11.6%): 121 non-surgeon physicians, 120 lawyers/other doctorate degree holders, and 27 other/unknown. Data analysis included prior study’s surgeon data. The median age (IQR = 25%, 75%) of the surgeons was 40y (36,45), non-surgeon physicians 43y (37,50), and law/other doctorates 38y (35,46). Delayed childbearing was observed in 65.0% surgeons, 66.1% non-surgeon physicians, and 57.5% law/other doctorates ( P < .001). Pregnancy loss <10wks was observed in 35.3% surgeons, 33.9% non-surgeon physicians, and 30.8% law/other doctorates ( P < .001). Infertility testing was performed in 43.0% non-surgeon physicians and 34.2% law/other doctorates ( P < .001). Assisted reproductive technology was utilized by 24.9% surgeons, 43.0% non-surgeon physicians, and 21.7% law/other doctorates ( P < .001). Discussion Surgeons/physicians suffer more childbearing complications than other professional women.

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2014From work with men and boys to changes of social norms and reduction of inequities in gender relations: a conceptual shift in prevention of violence against women and girls 2018Pregnancy and Motherhood During Surgical Training 2021Incidence of Infertility and Pregnancy Complications in US Female Surgeons 2016Fertility and Childbearing Among American Female Physicians 2015Pregnancy and Parenthood among Surgery Residents: Results of the First Nationwide Survey of General Surgery Residency Program Directors 2019Perceptions of Surgery Residents About Parental Leave During Training 2020Pregnancy and Parenthood Remain Challenging During Surgical Residency: A Systematic Review 2021Delay of Pregnancy Among Physicians vs Nonphysicians

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