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Iowa Otolaryngology Resident Mother's Protocol Pregnancy in Residency Resident Mother Motherhood in Residency

last modified on: Wed, 09/06/2017 - 11:01

 

Iowa Otolaryngology Resident Mother’s Protocol

Pregnancy In Residency

Motherhood in Residency

Resident Mother

BACKGROUND:  

  • ~ half of medical school applicants are women with increasing numbers of female graduates entering surgical subspecialties.
  • Residency occurs during a woman's childbearing yearsose having their first child during residency (4)
  • Studies have reported increased pregnancy complications in women residents working more than 100 hrs/wk, including an increased risk of preterm labor and delivery in residents working > 60hrs/wk.(1)
  • There is a higher rate of pregnancy complications amongst female subspecialist surgeons compared to the general US population (35.3 % vs. 14.5 %). (1)
  • Recommendations exist citing female physicians as a high-risk pregnancies (RR of an adverse pregnancy outcome among physicians was 1.86 compared to matched non-physicans)(3)
  • Pregnant residents work longer hours during the 1st and 2nd trimesters than their colleagues in preparation for upcoming maternity leave
  • Pregnant residents have a higher rate of pre-term labor and pre-eclampsia than pregnant spouses of their colleagues (4)
  • Shorter maternity leave is associated with increased depression and decreased QOL
  • Concerns with pregnant residents include the increased workload during their leave and the missed training time
  • Resident physicians take less maternity leave than those in clinical practice, and the duration of breastfeeding is also shorter.(1)
  • Most residents who discontinue breastfeeding before 6 months cite difficulties with access and time as reasoning for stopping
  • The most significant postpartum stress indicator was the matter of child care, especially as it related to finding adequate coverage for on-call periods. Maintaining breastfeeding was an additional concern in the postpartum period. Pregnancy during surgical residency is a significant source of conflict for the pregnant resident and her colleagues.(2)

MATERNITY LEAVE:

  • UIHC GME
    • http://www.uihealthcare.org/GME/GMEMainInsidePages.aspx?id=226363&taxid=225117“Female house staff members are entitled to up to six weeks of paid disability (maternity) leave for each pregnancy. If additional leave, either before or after delivery, is required for medical reasons associated with the pregnancy, this time will also be treated as paid disability leave up to a maximum of an additional four weeks beyond the initial six weeks of maternity leave. Non-birth parent house staff members, including domestic partners as defined by UI policy, have available five working days of paid time off for parental leave related to each recent birth or adoption of their child.”
    • American Board of Otolaryngology
      • Leaves of Absence: http://www.aboto.org/Booklet%20of%20Information.pdf
      • “Leaves of absence and vacation may be granted to residents at the discretion of the Program Director in accordance with local rules.  The total of such leaves and vacation may not exceed six weeks in any one year.  If a circumstance occurs in which a resident absence exceeds the six weeks per year outlined by the ABOto, the program director must submit a plan to the ABOto for approval of how the training will be made up which may require an extension of the residency.”

 

BREASTFEEDING:

Lactation rooms at UIHC

  • UIHC - General Hospital
    Room is on 5th floor, C538 in GH, please see Charlotte DePew (C109-B) for room key. Directions to C538 - Take elevator BW to the fifth floor, turn left. The room will be on the right side of the hall, about 4 doors down.
    Charlotte DePew, Hospital HR, 356-2008
    Kate Hilsman, Hospital HR, 353-7307
  • UIHC - Pomerantz Family Pavilion
    1500 (Lower Level) Near elevator M
    Karen Souter, 384-7990
    2 Pumping Stations, Sink, Phones, Medela Classic Electric Pump, Refrigerator
  • UIHC – Main OR 6th Floor Women’s Locker Room

Behind shower stalls

2 pumping stations

Desk, chair, electrical outlets, sinks near by

CHILDCARE:  

·         Day care/pre-schools near UIHC, often have waitlists

o   http://www.uiowa.edu/hr/famserv/childcare/#currentprog

o   Child Care for Children, Ages 6 Weeks to 5 Years

§  Alice's Rainbow Childcare421 Melrose Avenue, Iowa City(319)354-1466mail@arainbowcc.comwww.arainbowcc.com

§  Apple Tree Children's Center325 South Dubuque Street, Iowa City(319)621-7349IAC@earlyeducationpros.orgwww.earlyeducationpros.org/apple2/iowacity.html

Helpful Supplies: 

  • Ted Hose: Prescription recommended, Can obtain at Helget Medical Supply in Coralville
  • Breast Pump: Prescription recommended, Hands free - dual breast pump for maximum efficacy (Author prefers Medela Free style Hands-Free Breastpump), Can obtain at Helget Medical Supply in Coralville
    • Helget medical supply. Phone: *319-354-5009 http://helgetmedicalsupply.com/*
      • Address: 1721 2nd St, Coralville, IA 52241
      • *Hours of Business: *Monday - Friday 8:30 am - 5:00 pm
      • If you call ahead they can arrange to stay open later for you

UIHC Women’s health clinic

http://www.uihealthcare.com/depts/uiwomenshealth/index.html

For Appointments
Phone: 319-384-8442, 800-777-8442
UI Women's Health Center: Pomerantz Family Pavilion
(Elevator L to Level 3, turn left)

UIHC Pediatrics/Family Care

http://www.uichildrens.org/primarycare/

Primary Care - General Pediatric

Parking: Parking Ramp 4. Off  Hawkins Drive. Valet Services: Pomerantz Entrance.
In House Directions: Take Elevator L to Level Lower.

Hours Monday through Friday 8 am to 4:30 pm

Phone: 319-384-7333

Family Medicine - Family Care Center

Parking: Parking Ramp 4. Off Hawkins Drive. Valet Services: Pomerantz Entrance.
In House Directions: Take Elevator L to Level Lower.

Hours Monday through Friday
8 am to 4:30 pm

Phone: 319-384-7222

References: 

1. Childbearing and Pregnancy Characteristics of Female Orthopaedic Surgeons.  Hamilton AR, Tyson MD, Braga JA, Lerner LB.

J Bone Joint Surg Am. 2012 Jun 6;94(11):e771-9.

2. Pregnancy during otolaryngology residency: experience and recommendations*.  *Cole S, Arnold M, Sanderson A, Cupp C.

Am Surg. 2009 May;75(5):411-5.

3. Miller NH, Katz VL, Cefalo RC. Pregnancies among physicians.  A historical cohort study. J Reprod Med. 1989 Oct; 34(10): 790-6. 

4. Finch SJ.  Pregnancy during residency: a literature review. Acad Med 2003; 78: 418-28.