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Related Experiment Videos

Pregnancies among physicians. A historical cohort study.

N H Miller1, V L Katz, R C Cefalo

  • 1Department of Internal Medicine, Baystate Medical Center, Springfield, Massachusetts.

The Journal of Reproductive Medicine
|October 1, 1989
PubMed
Summary

Practicing physicians face a higher risk of adverse pregnancy outcomes, including preterm labor. This study suggests physicians should be considered a high-risk obstetric group.

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Area of Science:

  • Obstetrics and Gynecology
  • Occupational Health

Background:

  • Physicians experience unique occupational stressors that may impact pregnancy.
  • Previous research on physician pregnancy outcomes is limited.

Purpose of the Study:

  • To compare pregnancy outcomes between practicing physicians and nonphysicians.
  • To identify specific risks associated with physician pregnancies.

Main Methods:

  • Historical cohort study comparing 67 physician pregnancies with 201 nonphysician pregnancies.
  • Matched for socioeconomic status, age, race, and parity.
  • Controlled for alcohol/tobacco use and prenatal care adequacy.

Main Results:

  • Physicians had a 1.86 relative risk of adverse pregnancy outcomes.
  • Physicians showed significantly higher risks for preterm labor (4.0 times) and delivery (2.33 times).
  • Obstetric technology use was similar, except for increased ultrasounds in physicians.

Conclusions:

  • Physicians are at an increased risk for adverse pregnancy outcomes.
  • Physician pregnancies warrant classification as high-risk obstetric cases.
  • Further research into mitigating these risks is recommended.

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