女性心胸外科医生严重妊娠并发症的危险因素
Anna Olds1,2, Sameer Hirji3, Manuel Castillo-Angeles4
1Department of Surgery, Division of Cardiothoracic Surgery, University of Southern California, Los Angeles, CA.
女性心胸外科医生与非外科医生同行相比,面临更高的妊娠并发症率. 晚年母亲的年龄和在手术室长时间的工作时间是显著的风险因素.
科学领域:
- 心胸外科手术 心胸外科手术
- 产科和妇科 产科和妇科
- 职业健康 职业健康 职业健康
背景情况:
- 由于职业要求,女性心胸外科医生经常推迟生育.
- 关于这个专业的女性怀孕结果的数据有限.
研究的目的:
- 确定女性心胸外科医生怀孕并发症的发病率和风险因素.
- 将这些结果与具有相似社会人口背景的女性进行比较.
主要方法:
- 2023年对美国心胸外科医生/实习生进行的一项调查.
- 收集关于怀孕期间工作时间和重大产前并发症的数据.
- 男性外科医生提供了关于非外科医生伴侣的数据.
主要成果:
- 女性外科医生的并发症率 (45.16%) 比非外科医生伴侣 (27.16%) 高.
- 关键的风险因素包括年龄≥35岁 (OR:3.28) 和在第三季度 (OR:3.72) 工作超过12小时/周.
- 许多女性外科医生每周工作>60小时,并且在怀孕期间经常在夜间打电话.
结论:
- 女心胸外科医生比他们的非外科医生同行经历更多的妊娠并发症.
- 长时间的手术时间和晚年母亲的年龄是显著的风险因素.
- 需要政策来支持外科医生的母胎健康和生育.
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