Pregnancy and Motherhood for Trainees in Anesthesiology: A Survey of the American Society of Anesthesiologists

doi:10.46374/volxxiii_issue1_kraus

Cited by 5 publications

(4 citation statements)

References 40 publications

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“…Although European data are unavailable, in the USA, anaesthesiology trainees decide to breastfeed their infants in over 92% of cases, with a median duration of 8 months. 9 In addition, there is a current trend for increasing the length of breastfeeding, likely driven by an increased understanding of its associated health benefits. 33 Apart from the absence of breastfeeding breaks, lack of access to designated breastfeeding spaces at work may severely hinder women from continuing.…”

Section: Discussionmentioning

confidence: 99%

Welfare practices for anaesthesiology trainees in Europe

Berger-Estilita

Leitl

Vacas

et al. 2022

European Journal of Anaesthesiology

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BACKGROUNDCurrent regulations of anaesthesiology training programmes may affect gender equity, female representation and leadership.OBJECTIVETo describe the work regulations of anaesthesiology training programs and working conditions during the early period of child-rearing in European countries.DESIGNCross-sectional survey.SETTINGNational Anesthesiologists Societies Committee (NASC) representatives of the European Society of Anesthesiology and Intensive Care.PARTICIPANTSThirty-eight NASC representatives.MAIN OUTCOME MEASURESBasic specialist training working conditions, gender-related data, return to work after childbirth and workplace policies against discrimination during anaesthesiology specialist training.INTERVENTION(S)A 48-item questionnaire to explore the work patterns and conditions for trainees especially for new parents, professional development opportunities and work discrimination regulations in each representative country was distributed to NASC representatives of 44 European countries.RESULTSWe collected the replies of each representative (38 representatives from 44 invited countries’ representatives, 86% response rate). The median [IQR] proportion of female trainees was 60% [50 to 68]. There were no reported pay differences between sexes. In eight European countries, pregnant trainees worked fewer hours and were excused from night shifts. Women could not be laid off during pregnancy in all 38 countries (100%). The countries offered a median of 18 weeks of paid (total or partial) maternity leave (range, 13 to 60 weeks). Most countries (89%) accommodate paid paternity leaves. A significant proportion of parental leave was unpaid (n=18, 42%). Twenty-one (55%) countries allowed part-time work after delivery. The UK was the only country with clear recommendations to formally complain after harassment.CONCLUSIONEuropean countries have a wide variety of regulations. On paper, numerous countries have various paid maternal, paternal and parental leave; however, it remains to be determined if such leave takes place in practice. The practical consequences of these regulations on female trainees during the child-rearing period need to be explored further.TRIAL REGISTRATIONNone

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Section: Discussionmentioning

confidence: 99%

Welfare practices for anaesthesiology trainees in Europe

Berger-Estilita

Leitl

Vacas

et al. 2022

European Journal of Anaesthesiology

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“…This also applies to medical students as well (27) . Women in academic medicine were more likely to report inadequate sleep, rare refreshment when waking, and excessive sleep in waking hours (17) . A meta-analysis of physician suicide demonstrated a significant suicide risk for female physicians more than male physicians of the same age (27) .…”

Section: Women Physician In Medical Schoolmentioning

confidence: 99%

“…The potential gap between physician gender and academic advancement is mentioned in many medical fields (12) , (13) , (14) , (15) , (16) , (17) . Despite women composing half of current medical school classes, surgical specialties still struggle to attract and retain women.…”

Section: Women Physician In Medical Schoolmentioning

confidence: 99%

Women Physicians in Academic Medicine of Japan

Akazawa

Fujimoto

Sawada

et al. 2022

JMA J

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Positive action"Positive provision of opportunities for either women or men within necessary limits to redress gender disparities in terms of formation of a society where both women and men shall be given equal opportunities to participate voluntarily in activities in all fields as equal partners in society" (Article 2, The Basic Act for a Gender Equal Society) ■ Target of "30% by 2020"With the aim of achieving the target of "increasing the share of women in leadership positions to at least 30% by 2020 in all fields of society" ("the target of 30%" set in 2003), numerical targets for women's participation were set in the Third Basic Plan for Gender Equality for a wide range of fields, including politics, national and local governments, private sector, education and research. The Fourth Basic Plan shows the highly ambitious targets that could be achieved if all-out efforts are made in each field for the expansion of women's social participation. The plan also includes a target regarding the layer of women in previous stage who will assume leadership positions in the future.

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“…Women physicians face additional challenges once returning to work, including limited maternity leave, long work hours, lack of lactation facilities, lack of policies/support, limited flexibility in schedules, and increased work-related stressors that may negatively impact milk production [7,[13][14][15][16][17][18]. Unfortunately, women physicians also experience stigma and discrimination when breastfeeding/pumping [15,16,19,20].…”

Section: Introductionmentioning

confidence: 99%

General Surgery Faculty Knowledge and Perceptions of Breast Pumping Amongst Postpartum Surgical Residents

et al. 2023

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Background There is a lack of data regarding the knowledge and perceptions teaching faculty possess about breast pumping among general surgery residents despite breast pumping becoming more common during training. This study aimed to examine faculty knowledge and perceptions of breast pumping amongst general surgery residents. Methods A 29-question survey measuring knowledge and perceptions about breast pumping was administered online to United States teaching faculty from March–April 2022. Descriptive statistics were used to characterize responses, Fisher’s exact test was used to report differences in responses by surgeon sex and age, and qualitative analysis identified recurrent themes. Results 156 responses were analyzed; 58.6% were male and 41.4% were female, and the majority (63.5%) were less than 50 years old. Nearly all (97.7%) women with children breast pumped, while 75.3% of men with children had partners who pumped. Men more often than women indicated “I don’t know” when asked about frequency (24.7 vs. 7.9%, p = 0.041) and duration (25.0 vs. 9.5%, p = 0.007) of pumping. Nearly all surgeons are comfortable (97.4%) discussing lactation needs and support (98.1%) breast pumping, yet only two-thirds feel their institutions are supportive. Almost half (41.0%) of surgeons agreed that breast pumping does not impact operating room workflow. Recurring themes included normalizing breast pumping, creating change to better support residents, and communicating needs between all parties. Conclusions Teaching faculty may have supportive perceptions about breast pumping, but knowledge gaps may hinder greater levels of support. Opportunities exist for increased faculty education, communication, and policies to better support breast pumping residents.

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Pregnancy and Motherhood for Trainees in Anesthesiology: A Survey of the American Society of Anesthesiologists

Cited by 5 publications

References 40 publications

Welfare practices for anaesthesiology trainees in Europe

Welfare practices for anaesthesiology trainees in Europe

Women Physicians in Academic Medicine of Japan

General Surgery Faculty Knowledge and Perceptions of Breast Pumping Amongst Postpartum Surgical Residents

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