整形和重建手术中生殖和生育挑战的范围综述

IF 2.1 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-09-23 DOI:10.1016/j.jsurg.2025.103710

Micaela J. Tobin BA , Audrey K. Mustoe BA , Tricia Mae Raquepo BA , Agustin N. Posso MD , Sarah C. Hutton PhD , Samuel J. Lin MD, MBA , Ryan P. Cauley MD, MPH , Bernard T. Lee MD, MPH, MBA , Ashley N. Boustany MD , Sarah J. Karinja MD

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引用次数: 0

摘要

目的越来越多的女性选择整形和重建外科（PRS）领域的职业。这些不断变化的外科人口统计数据突出了育婴假政策、哺乳住宿和托儿服务的需求。因此，本研究探讨了整形和重建外科医生遇到的生殖和生育挑战。具体的重点领域包括产科并发症、育儿假、母乳喂养、儿童保育和不孕症。方法根据PRISMA-ScR指南，于2024年9月对CINAHL、b谷歌Scholar、MEDLINE、PubMed和Scopus进行了范围综述。纳入了随机对照试验、观察性研究、调查和访谈，以检查PRS学员或主治医师的怀孕、产假或计划生育。摘要、评论、社论、系统评价和非英语研究被排除在外。结果共纳入以外科医生经验调查为主的17项研究（82.35%,n = 3145）。19.6%-50.7%的外科医生患有不孕症，其中9.8%-19.6%的外科医生使用辅助生殖技术。女外科医生第一次活产的年龄比一般人群大，并且面临与怀孕有关的耻辱。39%至56%经历过产科并发症。许多人报告说缺乏哺乳空间和更大的育儿负担。在美国整形外科委员会（ABPS）制定了一项保护育儿假的政策之后，学员们在选择外科专业时得到了积极的肯定。结论保护性育婴假的实施对家庭教师的职场文化产生了积极的影响。然而，与性别有关的重大挑战仍然存在，特别是怀孕和育儿假的耻辱。

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A Scoping Review Characterizing Reproductive and Childbearing Challenges in Plastic and Reconstructive Surgery

Objective

An increasing number of women are choosing careers in the field of plastic and reconstructive surgery (PRS). These evolving surgeon demographics have highlighted the need for parental leave policies, lactation accommodations, and childcare services. Therefore, this study examines the reproductive and childbearing challenges that plastic and reconstructive surgeons encounter. Specific areas of focus include obstetric complications, parental leave, breastfeeding, childcare, and infertility.

Methods

In September 2024, a scoping review was conducted across CINAHL, Google Scholar, MEDLINE, PubMed, and Scopus, following PRISMA-ScR guidelines. Randomized control trials, observational studies, surveys, and interviews that examined pregnancy, parental leave, or family planning in PRS trainees or attendings were included. Abstracts, commentaries, editorials, systematic reviews, and non-English studies were excluded.

Results

Seventeen studies, consisting primarily of surgeon experience surveys (82.35%, n = 3,145), were examined. Infertility affected 19.6%-50.7% of surgeons, with 9.8%-19.6% utilizing assisted reproductive technology. Female surgeons were older at their first live births than the general population and faced stigma related to pregnancy. Between 39% and 56% experienced obstetric complications. Many reported a lack of lactation spaces and greater childcare burdens. Following the institution of a policy protecting parental leave by the American Board of Plastic Surgery (ABPS), trainees reported a positive affirmation in their selection of the surgical specialty.

Conclusions

The implementation of protected parental leave has positively influenced workplace culture in PRS. However, significant gender-related challenges remain, particularly stigmas surrounding pregnancy and parental leave.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.