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女医生的妊娠挑战与结局

Pregnancy challenges and outcomes among female physicians.

作者信息

Henning George, Agolli Arjola, Henning Susan, Murphy Samantha

机构信息

Pennsylvania State University, Penn State College of Medicine, Department of Family and Community Medicine, Hershey, PA.

Penn State Health St Joseph Medical Center, Reading, PA.

出版信息

Discoveries (Craiova). 2024 Sep 30;12(3):e192. doi: 10.15190/d.2024.11. eCollection 2024 Jul-Sep.

Abstract

Female physicians constitute an increasing proportion of the total physician workforce. Lengthy training often causes delays in family planning. When they feel ready and plan to have children, they might face demanding work hours, limited options for parental leave and child support, and potential stigmatization by peers and superiors. The impact of these factors on female physicians' fertility, pregnancy complications, professional growth, and perceptions of a career in medicine as a barrier to motherhood is not well-established. The goal of this study was to identify the main challenges and risk factors for pregnancy complications among U.S. female physicians.  Age, stress, adverse working conditions, occupational hazards, and insomnia were some of the main factors that can affect female physicians' fertility. A higher rate of infertility and older age at delivery were observed among female physicians working in surgical specialties. Being a physician is often associated with higher rates of infertility and pregnancy complications than the general population.   Although female physicians are increasing in number, they continue to encounter challenges in family planning and personal and professional life balance.  More research is needed to assess policy gaps, stigma, stereotypes, and risk factors, especially among different specialties. It becomes essential to develop effective strategies to adequately address these concerns and to offer equal and accessible reproductive care for female physicians.

摘要

女性医生在医生总数中所占比例日益增加。长时间的培训往往会导致计划生育延迟。当她们觉得准备好并计划要孩子时,可能会面临工作时间要求苛刻、育儿假和儿童抚养选择有限,以及来自同事和上级的潜在歧视。这些因素对女性医生的生育能力、妊娠并发症、职业发展以及将医学职业视为成为母亲的障碍的认知的影响尚未明确。本研究的目的是确定美国女性医生妊娠并发症的主要挑战和风险因素。年龄、压力、恶劣的工作条件、职业危害和失眠是影响女性医生生育能力的一些主要因素。在外科专业工作的女性医生中观察到较高的不孕率和较高的分娩年龄。与普通人群相比,医生身份往往与更高的不孕率和妊娠并发症发生率相关。尽管女性医生的数量在增加,但她们在计划生育以及个人和职业生活平衡方面仍然面临挑战。需要更多研究来评估政策差距、歧视、刻板印象和风险因素,尤其是在不同专业之间。制定有效的策略以充分解决这些问题并为女性医生提供平等且可及的生殖保健变得至关重要。

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