Clinical Report: Surgeons, Pregnancy, and Work Demands

Overview

A recent survey study indicates that female surgeons report higher rates of obstetric complications compared to the partners of male surgeons. However, this difference diminishes when accounting for workplace support, highlighting the impact of work conditions on pregnancy outcomes.

Background

The intersection of surgical careers and pregnancy presents unique challenges, particularly for female surgeons. Obstetric complications can significantly affect maternal and fetal health, making it crucial to understand the contributing factors. This study sheds light on the role of workplace support and work demands in influencing these outcomes.

Data Highlights

Key Findings

• 31% of female surgeons reported obstetric complications compared to 23% of partners of male surgeons.
• Female surgeons had 1.34 times the risk of complications compared to male partners, which was not significant after adjusting for workplace support.
• More than 50% of respondents reported a lack of workplace support, with 64% of female surgeons affected.
• A lack of workplace support was associated with a 1.58 times increased risk of complications in the overall cohort.
• Multiple gestation was associated with approximately six to seven times the risk of complications.
• Long working hours (>60 hours/week) were linked to a 1.45 times increased risk of complications among female surgeons.

Clinical Implications

Healthcare institutions should prioritize creating supportive work environments for female surgeons, particularly during pregnancy. Implementing policies that address workload management and provide adequate support can mitigate risks associated with obstetric complications.

Conclusion

The findings emphasize that modifiable work conditions, rather than intrinsic differences, significantly influence obstetric outcomes among female surgeons. Addressing workplace support is essential for improving maternal health in this population.

References

1. Halix SJ, et al., JAMA Surgery, 2024 -- Surgeons, Pregnancy, and Work Demands
2. Nottberg VI, et al., Updates in Surgery, 2026 -- Comment on Structural barriers to work-family reconciliation in surgery
3. Simpson AN, et al., Conexiant -- Physicians Frontload Work Early in Pregnancy
4. Guidelines for Pregnant Endourologists: Insights from a European Perspective
5. conexiant — Scalpel, Sutures, and Separation Notices
6. Pregnancy and Parenthood Among US Surgical Residents | Reproductive Health | JAMA Surgery
7. Pregnancy, Childbirth, or Related Medical Conditions Accommodations | U.S. Equal Employment Opportunity Commission