Arnold H, Beck A, Mattigk A, Himmler M, Harke N N, von Ostau N, Necknig U H
Urologie Arnold, Urologische Facharztpraxis, Senden, Deutschland.
Klinik für Urologie, Katholisches Marienkrankenhaus, Hamburg, Deutschland.
Urologe A. 2021 Jun;60(6):746-752. doi: 10.1007/s00120-021-01504-w. Epub 2021 Mar 30.
In Germany, approximately 1500 female physicians become pregnant each year. This also applies to urologys. The announcement of a pregnancy is often met with ignorance and unanswered questions by chief physicians and colleagues. The aim of this study is to clarify how urological chief physicians assess the current situation and to present liability risks versus health risks.
From July to October 2019, an anonymous online questionnaire was sent to 340 chief physicians by the Working Group Young Urologists of the German Society of Urology (DGU). The questionnaire asked about the risk assessment of the workplace, the timing of a pregnancy announcement, and the employment possibilities of pregnant employees in urology. In addition, a law firm was commissioned to prepare a brief legal opinion on the topic of medical work and surgery during pregnancy with specific reference to the field of urology, including any liability risks.
In all, 62 chief physicians participated in the survey (18.2%): 93.5% of the respondents considered an anticipatory risk assessment of the workplace for pregnant women to be useful; 82.3% would appreciate an overlapping recruitment by the employer. Respondents (62.9%) were skeptical of pregnant employees operating. Taking into account the regulations of the Maternity Protection Act, the liability risk does not exceed that which the employer generally has to bear.
The amendment of the Maternity Protection Act has not fundamentally changed the reality for female urologists. However, the individual risk assessment provides an opportunity to develop concrete protective measures-also for the operating room-with the employer. The aim must be to provide pregnant women with greater support in asserting their rights in the future.
在德国，每年约有1500名女医生怀孕。这在泌尿外科领域也同样存在。宣布怀孕往往会遭到主任医师和同事的忽视，问题也得不到解答。本研究的目的是阐明泌尿外科主任医师如何评估当前状况，并呈现责任风险与健康风险。
2019年7月至10月，德国泌尿外科协会（DGU）青年泌尿外科医生工作组向340名主任医师发送了一份匿名在线问卷。问卷询问了对工作场所的风险评估、宣布怀孕的时机以及泌尿外科怀孕员工的就业可能性。此外，委托一家律师事务所就孕期医疗工作和手术这一主题，特别是针对泌尿外科领域，编写一份简短的法律意见，包括任何责任风险。
共有62名主任医师参与了调查（18.2%）：93.5%的受访者认为对孕妇进行工作场所的预期风险评估是有用的；82.3%的受访者希望雇主进行重叠招聘。62.9%的受访者对怀孕员工进行手术持怀疑态度。考虑到《孕产保护法》的规定，责任风险不超过雇主通常必须承担的风险。
《孕产保护法》的修订并未从根本上改变女泌尿外科医生的实际情况。然而，个体风险评估为与雇主一起制定具体的保护措施（也适用于手术室）提供了机会。目标必须是在未来为孕妇维护自身权利提供更大支持。
