艾伯塔省女性外科培训生的生育能力保存和不孕症治疗：对培训生知识、态度和需求的调查。

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada Pub Date : 2025-01-01 DOI:10.1016/j.jogc.2024.102731

Sylvie Bowden MD, Selphee Tang BSc, Amy Metcalfe PhD, Shu Foong MD

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引用次数: 0

摘要

目的：了解艾伯塔省女性外科实习生的生育知识和对计划生育和生育保护/治疗的看法。方法：将一份自愿的匿名在线调查发送给艾伯塔省的外科项目协调员，并将其转发给各自的学员。参加者包括来自心脏外科、普通外科、神经外科、妇产科、眼科、骨科、耳鼻喉科、整形外科、泌尿外科和血管外科的外科学员。问题评估了人口统计、生育知识、生育史、计划生育观点和对生育保护/治疗的态度。主要结果是受训者对保存/治疗生育能力的需要。次要结局包括生育知识、生育史、计划生育观点和对生育保存/治疗的态度。结果：调查回复率为71.8%，共分析125份问卷。生育知识得分中位数为3/6。大多数学员（84.8%）没有孩子，其中68.0%认为职业影响是推迟生育的重要因素。职业抱负、培训时间和长工作时间被认为是影响计划生育的主要因素。接受卵母细胞冷冻保存的患者仅占3.2%，考虑冷冻保存的患者占48.0%。对卵母细胞冷冻保存选择和保险覆盖率的认识较低。57.6%的学员在培训期间未接受计划生育咨询。结论：艾伯塔省女性外科培训生面临严重的生育问题，生育知识差距和职业要求推迟生育加剧了这一问题。人们对保留生育能力有浓厚的兴趣，但障碍包括缺乏意识、经济限制和咨询不足。需要加强教育、咨询、保险覆盖面和支持性政策，以支持受训者的生殖和职业目标。

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Fertility Preservation and Infertility Treatment in Female Surgical Trainees in Alberta: A Survey of Trainee Knowledge, Attitudes, and Needs

Objectives

This study aimed to describe fertility knowledge and views on family planning and fertility preservation/treatment among female surgical trainees in Alberta.

Methods

A voluntary, anonymous online survey was sent to surgical program coordinators in Alberta to forward to their respective trainees. Participants included surgical trainees from cardiac surgery, general surgery, neurosurgery, obstetrics and gynaecology, ophthalmology, orthopaedics, otolaryngology, plastic surgery, urology, and vascular surgery. Questions assessed demographics, fertility knowledge, reproductive history, family planning views, and attitudes towards fertility preservation/treatment. The primary outcome were the needs of trainees regarding fertility preservation/treatment. Secondary outcomes included fertility knowledge, reproductive history, family planning views, and attitudes towards fertility preservation/treatment.

Results

The survey had a 71.8% response rate, with 125 responses analyzed. The median score for fertility knowledge was 3 out of 6. Most trainees (84.8%) were childless, with 68.0% citing career impact as a significant factor in delaying child-bearing. Career aspirations, training duration, and long work hours were identified as top factors impacting family planning. Only 3.2% had undergone oocyte cryopreservation, while 48.0% had considered it. Awareness of oocyte cryopreservation options and insurance coverage was low. During their training, 57.6% of trainees had received no counselling about family planning.

Conclusions

Female surgical trainees in Alberta face significant fertility concerns, exacerbated by gaps in fertility knowledge and career demands delaying child-bearing. There is strong interest in fertility preservation, but barriers include lack of awareness, financial constraints, and inadequate counselling. Enhanced education, counselling, insurance coverage, and supportive policies are needed to support trainees’ reproductive and career goals.

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来源期刊

Journal of obstetrics and gynaecology Canada OBSTETRICS & GYNECOLOGY-

CiteScore

3.30

自引率

5.60%

发文量

302

审稿时长

32 days

期刊介绍： Journal of Obstetrics and Gynaecology Canada (JOGC) is Canada"s peer-reviewed journal of obstetrics, gynaecology, and women"s health. Each monthly issue contains original research articles, reviews, case reports, commentaries, and editorials on all aspects of reproductive health. JOGC is the original publication source of evidence-based clinical guidelines, committee opinions, and policy statements that derive from standing or ad hoc committees of the Society of Obstetricians and Gynaecologists of Canada. JOGC is included in the National Library of Medicine"s MEDLINE database, and abstracts from JOGC are accessible on PubMed.