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生育与妊娠:它们如何影响计划生育和外科医生的健康?

Fertility and Pregnancy: How Do These Affect Family Planning and Surgeon Health?

作者信息

Stefanou Amalia J

机构信息

Moffitt Cancer Center, Tampa, Florida.

出版信息

Clin Colon Rectal Surg. 2023 Mar 8;36(5):327-332. doi: 10.1055/s-0043-1764240. eCollection 2023 Sep.

DOI:10.1055/s-0043-1764240
PMID:37564346
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10411105/
Abstract

There are unique considerations to fertility and pregnancy for women surgeons. Women surgeons often decide to delay pregnancy and childbearing due to concerns of conflict with work and training. This is particularly true for surgical trainees who face many obstacles, including bias from peers and program directors, and work-life conflict. As such, rates of infertility are higher compared with the general population. Women surgeons require assisted reproductive technologies more often than the general population. During pregnancy, there are also additional occupational hazards that are unique to a surgical career. Overall, we must be aware of these issues to support surgeons who decide to become parents during a surgical career.

摘要

女性外科医生在生育和怀孕方面有一些独特的考量。由于担心与工作和培训产生冲突,女性外科医生常常决定推迟怀孕和生育。对于面临诸多障碍(包括来自同行和项目主任的偏见以及工作与生活冲突)的外科住院医生而言尤其如此。因此,与普通人群相比,她们的不孕率更高。女性外科医生比普通人群更常需要辅助生殖技术。在怀孕期间,外科职业生涯还存在一些独特的额外职业风险。总体而言,我们必须意识到这些问题,以支持那些决定在外科职业生涯中成为母亲的外科医生。

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1
Fertility and Pregnancy: How Do These Affect Family Planning and Surgeon Health?生育与妊娠:它们如何影响计划生育和外科医生的健康?
Clin Colon Rectal Surg. 2023 Mar 8;36(5):327-332. doi: 10.1055/s-0043-1764240. eCollection 2023 Sep.
2
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本文引用的文献

1
Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons.重复性肌肉骨骼损伤:女性成人重建外科医生调查。
J Arthroplasty. 2022 Aug;37(8):1474-1477.e6. doi: 10.1016/j.arth.2022.01.001. Epub 2022 Jan 11.
2
The Long Road to Parenthood: Assisted Reproduction, Surrogacy, and Adoption Among US Surgeons.《育儿之路漫漫:美国外科医生的辅助生殖、代孕与收养》。
Ann Surg. 2022 Jan 1;275(1):106-114. doi: 10.1097/SLA.0000000000005253.
3
Incidence of Infertility and Pregnancy Complications in US Female Surgeons.美国女外科医生的不孕和妊娠并发症发生率
JAMA Surg. 2021 Oct 1;156(10):905-915. doi: 10.1001/jamasurg.2021.3301.
4
Delay of Pregnancy Among Physicians vs Nonphysicians.医生与非医生人群的妊娠延迟。
JAMA Intern Med. 2021 Jul 1;181(7):905-912. doi: 10.1001/jamainternmed.2021.1635.
5
Spontaneous abortion in women occupationally exposed to inhalational anesthetics: a critical systematic review.职业性接触吸入麻醉剂的女性自然流产:一项关键性系统性综述。
Environ Sci Pollut Res Int. 2021 Mar;28(9):10436-10449. doi: 10.1007/s11356-020-11684-1. Epub 2021 Jan 7.
6
Re-evaluation of birth trends and pregnancy complications among female urologists: Have we made any progress?重新评估女性泌尿科医生的生育趋势和妊娠并发症:我们是否取得了任何进展?
Neurourol Urodyn. 2020 Jun;39(5):1355-1362. doi: 10.1002/nau.24409. Epub 2020 May 25.
7
Pregnancy and Parenthood Remain Challenging During Surgical Residency: A Systematic Review.妊娠和育儿在外科住院医师培训期间仍然具有挑战性:系统评价。
Acad Med. 2020 Oct;95(10):1607-1615. doi: 10.1097/ACM.0000000000003351.
8
Occupational Reproductive Hazards for Female Surgeons in the Operating Room: A Review.手术室中女性外科医生的职业生殖危害:综述。
JAMA Surg. 2020 Mar 1;155(3):243-249. doi: 10.1001/jamasurg.2019.5420.
9
Surgical Smoke Exposure in Operating Room Personnel: A Review.手术室内人员的手术烟雾暴露:综述。
JAMA Surg. 2019 Oct 1;154(10):960-967. doi: 10.1001/jamasurg.2019.2515.
10
The impact of occupational shift work and working hours during pregnancy on health outcomes: a systematic review and meta-analysis.职业轮班工作和孕期工作时间对健康结果的影响:系统评价和荟萃分析。
Am J Obstet Gynecol. 2019 Dec;221(6):563-576. doi: 10.1016/j.ajog.2019.06.051. Epub 2019 Jul 2.