与同行医生相比,女性泌尿科医生的产科障碍更大
Adri M Durant1, Emily A Reeson2, Gwen M Grimsby3
1Department of Urology, Mayo Clinic Arizona, Phoenix, AZ.
Urology
|October 18, 2023
概括
与一般人群相比,女性泌尿科医生面临更高的妊娠并发症和不孕率. 改善教育和工作场所的支持对于解决产科的这些差异至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医学教育 医学教育
背景情况:
- 妇女医生,特别是在要求高的专业,如泌尿病学,可能会遇到独特的挑战,关于怀孕和计划生育.
- 与更广泛的医生和普通人群相比,女性泌尿科医生的妊娠并发症和不孕不育现有数据有限.
研究的目的:
- 为女性泌尿科医生调查妊娠并发症,不孕症和孕产妇支持系统的患病率.
- 将这些结果与一般人群和其他女性医生的结果进行比较.
主要方法:
- 在2021年6月至8月期间,对4612名女性医生进行了匿名调查,其中包括241名泌尿科医生.
- 该调查收集了关于怀孕人口统计,并发症,不孕症,工作场所环境和先前教育的数据.
- 使用费舍尔精确测试,用耶茨校正的千平方和学生的t测试进行了统计比较.
主要成果:
- 与普通人群相比,女性泌尿科医生经历了更高的流产,早产和不孕评估/治疗率 (P < .0001).
- 泌尿科医生不太可能生孩子,并且更有可能在培训和实践期间被阻止计划生育 (P < .0001).
- 他们还报告了更短的育儿假期,在怀孕期间工作的时间更长,并且接受的哺乳住宿比其他女性医生少 (P < .001).
结论:
- 女泌尿科医生面临着重大的产科障碍,包括增加妊娠并发症和不孕症.
- 关于计划生育教育的缺陷和缺乏支持性的工作场所文化有助于应对这些挑战.
- 需要有针对性的教育干预和加强机构支持来缓解这些差异.
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