Pregnancy and Fertility Concerns: A Survey of United States Obstetrics and Gynecology Residents

Schwartz, Kaia; Martin, Caitlin; Hipp, Heather S.; Kawwass, Jennifer F.

doi:10.1007/s10995-020-03027-w

Cited by 12 publications

(6 citation statements)

References 15 publications

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“…These findings are similar to those reported in the previous survey of Obstetrics and Gynecology residents that revealed high rates of pregnancy delay with career and education being the most common reason. 7 In addition, these responses also correlate with the survey of general surgery residents who had been pregnant previously and expressed concern for lack of support and negative stigmatization regarding pregnancy in residency. 4 This stigmatization and lack of support led to almost 40% of the participants considering leaving residency.…”

Section: Discussionmentioning

confidence: 78%

“…For these data, a numerical value of up to seven was associated with each categorical variable. The category (point value) definitions are as follows: strongly disagree (1), disagree (2), somewhat disagree (3), neither agree or disagree (4), somewhat agree (5), agree (6), and strongly agree (7).…”

Section: Discussionmentioning

confidence: 99%

“…The survey questions were inspired by previous studies. 3,5,7 The questions included in the survey consisted of the following themes: student demographics, career trajectory, attitudes toward pregnant colleagues, family planning actions, similarities between pregnant and non-pregnant medical students, parenting perspectives, and knowledge of resources available. No identifiable information was collected in the survey.…”

Section: Survey Developmentmentioning

confidence: 99%

“…7 The largest reason for delaying pregnancy was career or education (84.5%), followed by financial reasons, a lack of a partner, or partner preference. 7 In addition, a previous study comparing the pregnancy delay among physicians and non-physicians indicated that physicians were less likely to experience childbirth than non-physicians between 15 and 28 years old and more likely to experience childbirth at ages 29-36. 8 The median age of childbirth was 32 for physicians and 27 for non-physicians.…”

Section: Introductionmentioning

confidence: 99%

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Medical Students’ Perspectives on Pregnant or Parenting Peers: A Cross-Sectional Survey

2024

MSRJ

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Descriptive analyses, a twotailed t-test comparing female and male responses, and a one-way analysis of variance test comparing medical school classes were used. Results:The survey response rate was 13.2% (n = 106). Few respondents (n = 4, 3.8%) had been pregnant during medical school. The majority (n = 67, 71.3%) indicated family plans influence specialty choice. Furthermore, 78.0% (n = 42) cited career and education as their reason for choosing to delay pregnancy. Other descriptive analyses identified that 80.0% (n = 75) of respondents were not aware of resources available for pregnant or parenting classmates. Also, 13.0% (n = 12) of respondents had witnessed bias toward a pregnant medical student. Differences in opinions between males and females were present regarding bias and support available. Differences between medical student classes also exist regarding opinions indicating pregnancy as a barrier during school. The statements with the strongest overall agreement were: Pregnant medical students are resilient, face additional challenges, and parental leave should be available in medical school. Conclusion:This study provides new information regarding pregnancy opinions in medical school and highlights pregnant medical students' challenges and biases. We revealed common delays in pregnancy due to career or educational choices and uncovered the strong consensus among students that parental leave should be an option. Support efforts are warranted to decrease biases and offer parental leave to promote equity and inclusion.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Survey Developmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Medical Students’ Perspectives on Pregnant or Parenting Peers: A Cross-Sectional Survey

2024

MSRJ

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“…During the past 150 years, the average lifespan of human beings has increased from 45 to 85 years, while the reproductive lifespan of women has remained constant at 50-52 years ( 1 ). The social phenomenon of late marriage and late childbearing of women has been formed with the extension of human life span and the change of life style.…”

Section: Introductionmentioning

confidence: 99%

Ginsenosides improve reproductive capability of aged female Drosophila through mechanism dependent on ecdysteroid receptor (ECR) and steroid signaling pathway

Liu

et al. 2022

Front. Endocrinol.

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Aging ovaries caused diminished fertility and depleted steroid hormone level. Ginsenosides, the active ingredient in ginseng, had estrogen-like hormonal effects. Although ginsenosides were well known for their ability to alleviate many age-related degenerative diseases, the effect of ginsenosides on the decline in reproductive capability caused by aging, as well as the mechanism, are unknown. We found that ginsenosides improved the quantity and quality of the offspring, prolonged life and restored muscle ability in aged female Drosophila. In addition, ginsenosides inhibited ovarian atrophy and maintained steroid hormone 20-Hydroxyecdysone (20E) and juvenile-preserving hormone (JH)) levels. Ginsenosides activated ecdysteroid receptor (ECR) and increased the expression of the early transcription genes E74 and Broad (Br), which triggered steroid signaling pathway. Meanwhile, ginsenosides promoted JH biosynthesis by increasing the expression of Hydroxyl-methylglutaryl-CoA reductase (HMGR) and juvenile hormone acid O-methyltransferase (JHAMT). Subsequently, JH was bound to Methoprene Tolerant (Met) and activated the transcription of the responsive gene Kruppel Homolog 1 (Kr-h1), which coordinated with 20E signaling to promote the reproduction of aged female Drosophila. The reproductive capacity and steroid hormone levels were not improved and the steroid signaling pathway was not activated in ginsenoside-treated ECR knockout Drosophila. This suggested that ginsenosides played a role dependent on targeted ECR. Furthermore, 17 kinds of ginsenoside monomers were identified from the total ginsenosides. Among them, Rg1, Re and Rb1 improved the reproductive capacity and steroid hormone levels of aged female Drosophila, which has similar effects to the total ginsenoside. These results indicated that ginsenosides could enhance the reproductive capacity of aged female Drosophila by activating steroid signals dependent on nuclear receptor ECR. In addition, ginsenoside monomers Rg1, Rb1 and Re are the main active components of total ginsenosides to improve reproductive ability. This will provide strong evidence that ginsenosides had the potential to alleviate age-induced reproductive degradation.

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Physician infertility: a structured literature review

Kassab,

Garcia Keeme-Sayre,

Lipshultz

2024

J Assist Reprod Genet

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Pregnancy and Fertility Concerns: A Survey of United States Obstetrics and Gynecology Residents

Cited by 12 publications

References 15 publications

Medical Students’ Perspectives on Pregnant or Parenting Peers: A Cross-Sectional Survey

Medical Students’ Perspectives on Pregnant or Parenting Peers: A Cross-Sectional Survey

Ginsenosides improve reproductive capability of aged female Drosophila through mechanism dependent on ecdysteroid receptor (ECR) and steroid signaling pathway

Physician infertility: a structured literature review

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