[Surgery in ophthalmology during pregnancy].

Area of Science:

• Occupational health and safety
• Reproductive health law
• Ophthalmology

Context:

• The 2018 Maternity Protection Act (MuSchG) aims to prevent discrimination against pregnant employees.
• Despite the law, pregnant employees, including surgeons, often face employment or activity bans.
• Risk assessments are frequently omitted, leading to potential legal discrimination.

Purpose:

• To explain the procedures for pregnant employees under the MuSchG.
• To highlight innovations within the MuSchG relevant to healthcare professionals.
• To analyze the specific risks and protective measures for pregnant ophthalmologists.

Summary:

• The MuSchG mandates workplace reorganization before imposing work bans on pregnant employees.
• Ophthalmology presents favorable conditions for pregnant surgeons due to sedentary work and short procedures.
• Specific hazards in ophthalmology, including infection risks, hazardous substances (mitomycin C, 5-fluorouracil), and needlestick injuries (HIV, Hepatitis C) from anti-VEGF drugs, are detailed.
• The law requires nondiscriminatory support for pregnant doctors, including continued surgical practice and return-to-work planning.

Impact:

• Ensures legal compliance and prevents discrimination against pregnant healthcare workers.
• Promotes the retention and continued professional development of female doctors during and after pregnancy.
• Addresses the shortage of doctors by supporting women in the medical workforce.