title: "Pregnant and Operating": Evaluation of a Germany-wide Survey Among Female Gynaecologists and Surgeons.
abstract: The current law on the protection of expectant and nursing mothers largely rules out surgical activities during pregnancy for female doctors who perform surgical roles in hospitals. The proportion of female junior staff in gynaecology amounts to 80 %, and, for many of these women, surgical further training is not possible following official notification of an existing pregnancy. In a Germany-wide survey of female gynaecologists and surgeons using a questionnaire, it was determined to what extent female doctors worked in surgery during pregnancy, whether it led to complications in the pregnancy, when the employer was notified about the pregnancy, and what desire for change there is with regard to the law on the protection of expectant and nursing mothers. The data from 164 female doctors, of which 136 are gynaecologists and 28 surgeons, was evaluated. On average, the pregnancy was announced during the 14th week of pregnancy (WOP), and the doctor was not allowed to perform surgical activities in the 21st WOP. Female doctors in higher professional roles tended to announce the pregnancy later and ended their surgical activities later. There was no link between the time of ceasing surgical activities and an increased occurrence of complaints or complications during the pregnancy. In total, only 53 % of respondents had an appraisal during pregnancy and 75 % wanted a change in the law on the protection of expectant and nursing mothers.
authors.affiliation: Gynecological Endocrinology and Fertility Disorders, Ruprecht-Karls University Heidelberg, Heidelberg.
authors.forename: C
authors.initials: C
authors.lastname: Knieper
authors.affiliation: Vivantes Hospital Neukölln, Berlin.
authors.forename: B
authors.initials: B
authors.lastname: Ramsauer
authors.affiliation: Department of Obstetrics and Gynecology, University Hospital, Ulm.
authors.forename: K
authors.initials: K
authors.lastname: Hancke
authors.affiliation: Department of Obstetrics and Gynecology, Julius Maximilians University Würzburg, Würzburg.
authors.forename: A
authors.initials: A
authors.lastname: Woeckel
authors.affiliation: Gynecological Endocrinology and Fertility Disorders, Ruprecht-Karls University Heidelberg, Heidelberg.
authors.forename: L
authors.initials: L
authors.lastname: Ismail
authors.affiliation: Medical Practice for Psychosomatic Medicine and Psychotherapy, Murnau.
authors.forename: A
authors.initials: A
authors.lastname: Bühren
authors.affiliation: Gynecological Endocrinology and Fertility Disorders, Ruprecht-Karls University Heidelberg, Heidelberg.
authors.forename: B
authors.initials: B
authors.lastname: Toth
keywords: operating; pregnancy; protection of expectant and nursing mothers