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Updated: May 6, 2026

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The obstetric experience among vascular surgery trainees.

Ruojia Debbie Li1, Eric B Pillado2, Margaret Reilly3

  • 1Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Indiana University School of Medicine, Indianapolis, IN; Division of Vascular and Endovascular Surgery, Department of Surgery, Loyola University Medical Center, Maywood, IL.

Journal of Vascular Surgery
|March 28, 2025
PubMed
Summary

Vascular surgery trainees face significant risks during pregnancy, with high rates of obstetric complications. Female trainees experience more mistreatment and burnout, highlighting the need for better support systems.

Keywords:
BurnoutObstetric complicationsPregnancyTrainee wellnessVascular surgery training

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Area of Science:

  • Medical Education
  • Surgical Training
  • Obstetrics and Gynecology

Background:

  • Vascular surgery training involves unique risks for pregnant trainees, including demanding work hours and radiation exposure.
  • Understanding the experiences of pregnancy and parenthood among these trainees is crucial for their well-being.
  • Assessing obstetric complication rates and factors influencing trainee wellness is essential.

Purpose of the Study:

  • To investigate pregnancy and parenthood experiences in vascular surgery trainees.
  • To determine the incidence of obstetric complications in this population.
  • To identify factors contributing to trainee-parent wellness and burnout.

Main Methods:

  • A survey was distributed to vascular surgery residents and fellows following the 2021 Vascular Surgery In-Training Examination.
  • Participants reported on their learning environment, including work hours, mistreatment, obstetric complications, and burnout.
  • Multivariable logistic regression was used to identify predictors of burnout.

Main Results:

  • Over 25% of trainees reported pregnancy during clinical training, with female trainees more likely to delay parenthood.
  • Both female trainees and partners of male trainees experienced high rates of obstetric complications.
  • Female trainees reported significantly more mistreatment and duty-hour violations, which were linked to burnout.

Conclusions:

  • Vascular trainees encounter substantial obstetric complications, with senior trainees at higher risk.
  • Women in vascular surgery training face greater stigma regarding pregnancy, correlating with increased burnout.
  • Enhanced support for childbearing during surgical training is vital for workforce diversity and maternal-fetal health.