• Thinzar M Lwin, Manuel Castillo-Angeles, Carrie E Cunningham, Rachel B Atkinson, Eugene Kim, Sarah Rae Easter, Ankush Gosain, Yue-Yung Hu, and Erika L Rangel.
• Department of Surgery, Division of Surgical Oncology, City of Hope, Duarte, CA.
• Ann. Surg. 2024 Aug 7.

ObjectiveTo describe the impact of lack of workplace support (LOWS) for obstetric health on surgeon distress and career satisfaction.BackgroundAlthough most pregnant surgeons desire clinical duty reductions to mitigate obstetric risk, few modify their schedules due to low workplace support.MethodsUS surgeons with at least one live birth completed an electronic survey. LOWS during pregnancy was defined as (1) disagreeing that colleagues/leadership were supportive of obstetric-mandated bedrest; (2) feeling unable to reduce clinical duties despite health concerns due to risk of financial penalties, requirement to make up missed call shifts, being perceived as "weak", burdening colleagues, or accommodations being denied by the workplace. Multivariate logistic regression determined the association between LOWS and burnout, low quality of life, plans to leave clinical practice or to reduce work hours, and likelihood of recommending a surgical career to one's child.ResultsOf 557 surgeons, the 360 (64.6%) who reported LOWS during pregnancy were more likely to report burnout (OR:2.57; 95%CI:1.60-4.13), low quality of life (OR:1.57; 95%CI:1.02-2.41), a desire to leave their practice (OR:2.74; 95%CI: 1.36-5.49), plans to reduce clinical hours in the next year (OR:4.25; 95%CI:1.82-9.90), and were less likely to recommend their career to their child (OR:0.44; 95%CI:0.28-0.70).ConclusionsLOWS for maternal-fetal health concerns is associated with burnout, low quality of life, and career dissatisfaction. The work environment is a modifiable factor requiring system-level interventions to limit clinical work during pregnancy and provide fair compensation for covering surgeons. Supporting surgeons during pregnancy is a short-term investment with long-term implications for improving longevity and diversity of the workforce.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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