July 2024- In a new study led by investigators from Massachusetts General Hospital, a founding member of the Mass General Brigham healthcare system, that surveyed more than 80% of all surgical residents in the United States, females were more likely to suffer obstetric complications and postpartum depression than male residents’ partners.
Female residents were also more likely to experience pregnancy/parenthood-related mistreatment than male residents, and such mistreatment was associated with burnout, thoughts of leaving the profession, and thoughts of suicide. The findings are published in JAMA Surgery.
“This study is the most comprehensive assessment of the experience of pregnancy and parenthood in any specialty training program to date. Although many training programs have achieved gender parity, gender disparities related to the experience of parenthood during general surgery residency persist,” said senior author Erika Rangel, MD, MS, an acute care and gastrointestinal surgeon and the Associate Program Director for the General Surgery residency at Massachusetts General Hospital.
For the study, 5,692 residents from 325 US general surgery programs provided survey responses, with 957 residents (16.8%) reporting a pregnancy (for themselves or their partner) during clinical training (22.3% male and 10.2% female). Responses revealed that, compared with male residents, female residents were more likely to delay having children due to training (46.8% vs. 32.8%) and experience pregnancy/parenthood-based mistreatment (58.1% vs 30.5%). Female residents had 42% higher odds of experiencing obstetric complications and 63% higher odds of developing postpartum depression compared with male residents’ partners.
Also Read: Latest: Study Reveals How Brain Networks Derive Meaning from Words
Pregnancy/parenthood-based mistreatment was linked with a 2.0 times higher odds of experiencing burnout and 2.5 times higher odds of having thoughts about leaving the profession. Postpartum depression—whether in female residents or male residents’ partners—was linked with a 1.9-times higher odds of burnout, a 2.3-times higher odds of thoughts of leaving the profession, and a 5.6-times higher odds of thoughts of suicide.
The statement was issued by the American College of Surgeons in mid-May and has been endorsed by the American Board of Surgery, American Board of Colon and Rectal Surgery, American Board of Neurological Surgery, American Board of Oral and Maxillofacial Surgery, American Board of Plastic Surgery, and American Board of Thoracic Surgery.
