Burnout In Childbearing Surgeons Is Associated With The Increased Rate of Obstetric Complications And Unsafe Work Conditions: A Mixed-Methods Study.

OBJECTIVE

To explore factors associated with burnout among childbearing practicing and trainee surgeons.

SUMMARY BACKGROUND DATA: Burnout among physicians is twice as prevalent as in the general population, with higher rates among childbearing surgeons. This negatively impacts surgeons' mental health and the quality of patient care while increasing healthcare costs, underscoring the urgent need to identify and address modifiable risk factors.

METHODS

Explanatory sequential mixed methods design using a survey distributed to members of the American College of Surgeons.

RESULTS

Among 932 U.S. childbearing practicing and trainee surgeons, 55% reported burnout. In adjusted analysis, burnout was associated with lack of workplace support (LOWS, defined as childbearing-related stigma, pressure not to have children, and concerns about pregnancy-related workload or duty coverage) (OR 2.10, P<0.001), major pregnancy complications (OR 1.59, P=0.003), and prolonged standing (12 or more hours per week) during the third trimester of pregnancy (OR 1.52, P=0.007). Thematic network analysis of free-text comments revealed four global themes: 1) Work-family conflict contributes to burnout; 2) Insufficient accommodations for obstetric complications heighten burnout and career dissatisfaction; 3) LOWS adversely impacts well-being and personal relationships; and 4) The negative culture toward motherhood hinders career progression and undermines a sense of personal accomplishment.

CONCLUSIONS

Female surgeons and surgical trainees face increased burnout from lack of workplace support, major pregnancy complications, and excess physical demands during pregnancy. These emphasize the need for systemic changes including policy reform, cultural shifts, and targeted interventions to support career satisfaction and equity.