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骨科外科医生的怀孕,育儿和生育能力:一个系统的审查
Catrin Morgan1, Lily Li1, Pragna R Kasetti1
1Imperial College NHS Foundation Trust, London, UK.
The bone & joint journal
|July 31, 2023
概括
女性整形外科医生面临更高的不孕率和产科并发症. 负面的看法往往会导致他们推迟生育,强调需要更有支持的文化和指导.
科学领域:
- 整形外科手术 整形外科手术
- 生殖健康 生殖健康
- 外科教育的外科教育
背景情况:
- 增加女性参与骨科手术需要了解怀孕的影响.
- 现有的关于怀孕,育儿和生育能力的数据在这个专业是有限的.
研究的目的:
- 系统地审查有关女性骨科外科医生怀孕和育儿经验的现有文献.
- 在这个群体中确定与生育和生育相关的共同主题,挑战和结果.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在2022年11月对多个数据库 (Medline,Emcare,Embase,PsycINFO,OrthoSearch,Cochrane Library) 进行全面搜索.
- 在整形外科手术中包括专注于怀孕和/或育儿的原始研究论文.
主要成果:
- 19项研究符合超过1200篇初步论文的纳入标准.
- 整形外科医生报告说,与普通人群相比,产科并发症,先天性异常和不育率更高.
- 外科医生往往会在晚年生孩子,因为同龄人和项目主管的负面看法,他们经常自愿推迟生育.
结论:
- 女性整形外科医生经历了产科并发症和不孕症的高率.
- 支持性的文化转变,正式的指导方针和指导对于骨科手术中更积极的怀孕环境至关重要.
- 解决负面看法和提供支持可以帮助缓解自愿延迟生育.
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