Department of Urology, Mayo Clinic Arizona, Phoenix, AZ.
School of Medicine, Creighton University Phoenix Regional Campus, Phoenix, AZ.
Urology. 2024 Jan;183:274-280. doi: 10.1016/j.urology.2023.08.048. Epub 2023 Oct 17.
To determine the prevalence of pregnancy complications, infertility, and maternal support for female urologists in comparison to the general population and other female physicians.
An anonymous, voluntary survey was distributed to female physicians via private physician social media groups from June to August 2021. The survey queried pregnancy demographics and complications, infertility diagnosis and treatment, workplace environment, and prior education on these topics. Results were compared between urologists and the general population and other female physicians with Fisher exact test, chi-square with Yates's correction, or Student's t tests as indicated.
Four thousand six hundred twelve female physicians completed the survey including 241 (5%) urologists. Compared with the general population, urologists were more likely to have a miscarriage or preterm birth, have children later in life, and undergo infertility evaluation or infertility treatment (all P < .0001). 42% of urologists reported experiencing a pregnancy complication and only 9% of those surveyed received education on the risks of delaying pregnancy. Despite being educated more often regarding the risks of delaying pregnancy compared to other physicians, urologists were less likely to have children, had fewer children, and were more likely to be discouraged from starting a family during training and practice (all P < .0001). Additionally, urologists reported shorter parental leave, worked more hours per week while pregnant, and were less likely to receive lactation accommodations compared to other female physicians (all P < .001).
Education for trainees on family planning and fostering a culture of support are deficits identified in overcoming obstetric barriers in urologists.
与一般人群和其他女性医生相比，确定妊娠并发症、不孕以及女性泌尿科医生对其的支持率。
2021 年 6 月至 8 月，通过私人医生社交媒体群组向女性医生分发匿名自愿调查。该调查询问了妊娠人口统计学和并发症、不孕诊断和治疗、工作场所环境以及这些主题的先前教育。结果在泌尿科医生和一般人群以及其他女性医生之间进行了比较，使用 Fisher 确切检验、带有 Yates 校正的卡方检验或学生 t 检验进行比较。
4612 名女性医生完成了调查，其中包括 241 名（5%）泌尿科医生。与一般人群相比，泌尿科医生更有可能流产或早产，更晚生育，以及接受不孕评估或治疗（均 P<0.0001）。42%的泌尿科医生报告经历过妊娠并发症，只有 9%的受访者接受过关于延迟妊娠风险的教育。尽管与其他医生相比，泌尿科医生接受了更多关于延迟妊娠风险的教育，但他们更不可能生育，生育的孩子更少，并且在培训和实践期间更有可能被劝阻不要组建家庭（均 P<0.0001）。此外，与其他女性医生相比，泌尿科医生报告的育儿假更短，怀孕期间每周工作时间更长，并且不太可能获得哺乳便利（均 P<0.001）。
针对学员的计划生育教育和培养支持文化是克服泌尿科医生产科障碍的明显不足之处。
