Maternity policy and practice during surgery residency: how we do it.
BACKGROUND
Pregnancy during general surgery residency has traditionally been discouraged.


METHODS
In 2001, using an approved protocol, we anonymously surveyed 25 residents (PGY3 level or greater) concerning their experiences working with each other during episodes of resident pregnancy and maternity leave.


RESULTS
From 1995 to 2001, 13 of 59 residents in general surgery were female (22%). While training, 6 of 13 residents reported 8 pregnancies with 2 miscarriages. Five residents (39%) gave birth to 6 children and adopted 1 child. Residents worked until the day of term delivery in 5 of 6 cases; 1 pregnancy was complicated by placental abruption at 33 weeks. Residents were off work postpartum for a median of 6 weeks (range 2-6). Nursing was universal for > or = 3 months but at-work problems with privacy and stress were frequent. On survey, all resident mothers believed they had been treated very fairly, and 94% of surveyed male peers stated that the coworker's status had no effect or a positive effect on their own work life. Fatherhood was reported to occur during residency by 42% of male respondents.


CONCLUSIONS
Parenthood during residency is frequent. The complexities of resident maternity can be handled with mutual safety, equity, and satisfaction by the residents and faculty of a surgical training program.
Carty
Sally E
SE
Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pa 15261, USA.
Colson
Yolonda L
YL
Garvey
Laura S
LS
Schuchert
Vaishali D
VD
Schwentker
Ann
A
Tzeng
Edith
E
Corcoran
Noreen A
NA
Simmons
Richard L
RL
Webster
Marshall W
MW
Billiar
Timothy R
TR
D001290:Attitude; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D008297:Male; D016524:Parental Leave; D010822:Physicians, Women; D011247:Pregnancy; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires