Morgan Catrin, Li Lily, Kasetti Pragna R, Varma Ria, Liddle Alexander D
Imperial College NHS Foundation Trust, London, UK.
Department of Surgery and Cancer, The MSk Lab, Imperial College London, London, UK.
Bone Joint J. 2023 Aug 1;105-B(8):857-863. doi: 10.1302/0301-620X.105B8.BJJ-2023-0253.R1.
As an increasing number of female surgeons are choosing orthopaedics, it is important to recognize the impact of pregnancy within this cohort. The aim of this review was to examine common themes and data surrounding pregnancy, parenthood, and fertility within orthopaedics.
A systematic review was conducted by searching Medline, Emcare, Embase, PsycINFO, OrthoSearch, and the Cochrane Library in November 2022. The Preferred Reporting Items for Systematic Reviews and Meta Analysis were adhered to. Original research papers that focused on pregnancy and/or parenthood within orthopaedic surgery were included for review.
Of 1,205 papers, 19 met the inclusion criteria. Our results found that orthopaedic surgeons have higher reported rates of obstetric complications, congenital abnormalities, and infertility compared to the general population. They were noted to have children at a later age and voluntarily delayed childbearing. Negative perceptions of pregnancy from fellow trainees and programme directors were identified.
Female orthopaedic surgeons have high rates of obstetric complications and infertility. Negative perceptions surrounding pregnancy can lead to orthopaedic surgeons voluntarily delaying childbearing. There is a need for a pregnancy-positive culture shift combined with formalized guidelines and female mentorship to create a more supportive environment for pregnancy within orthopaedic surgery.
随着越来越多的女性外科医生选择骨科专业，认识到怀孕对这一群体的影响很重要。本综述的目的是研究骨科领域内围绕怀孕、为人父母和生育的常见主题及数据。
2022年11月通过检索Medline、Emcare、Embase、PsycINFO、OrthoSearch和Cochrane图书馆进行了系统综述。遵循系统综述和荟萃分析的首选报告项目。纳入专注于骨科手术中怀孕和/或为人父母的原创研究论文进行综述。
在1205篇论文中，19篇符合纳入标准。我们的结果发现，与普通人群相比，骨科外科医生报告的产科并发症、先天性异常和不孕症发生率更高。他们生育子女的年龄较晚，且自愿推迟生育。发现实习医生和项目主任对怀孕存在负面看法。
女性骨科外科医生产科并发症和不孕症的发生率较高。围绕怀孕的负面看法会导致骨科外科医生自愿推迟生育。需要转变为积极看待怀孕的文化氛围，并结合正式的指导方针和女性导师制度，为骨科手术中的怀孕创造一个更具支持性的环境。
