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Maternal wellbeing and pregnancy outcomes in anaesthetic trainees

机译:麻醉学员的孕产妇福祉和怀孕结果

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摘要

The importance of supporting and maintaining doctors' health and wellbeing cannot be overstated. Combined with the undisputed status of work in medicine as both strenuous and stressful, pregnancy is a unique time during which the mother and unborn baby may be at risk of adverse outcomes. A narrative literature review is presented with a focus on studies of relevance to pregnancy in anaesthesia trainees, however much of the evidence is drawn from studies involving anaesthetic consultants, trainees in other specialties and pregnant workers in general. After a brief exploration into historical concepts in occupational hazards and adverse pregnancy outcomes, further discussion ensues on more recent evidence in relation to specialist training (or 'residency'), the impact of work stressors and maternal psychological state on pregnancy outcomes and attitudes towards pregnancy during specialist training. Finally, occupational guidelines are considered along with the rationale for 'pregnancy-friendly' workplaces and suggestions for future research in this area for both the profession and employers.
机译:支持和维护医生健康和福祉的重要性不能夸大。结合无可争议的医学工作状态,因为剧烈和压力,怀孕是母亲和未出生的婴儿的独特时间,可能存在不利结果的风险。叙述文献综述旨在重点研究麻醉学员在麻醉学员中与怀孕相关的研究,然而从涉及涉及麻醉顾问,其他专业和孕妇的学员的研究中汲取了大部分证据。经过初步探索职业危害和不利妊娠结果的历史概念,进一步讨论,以便与专家培训(或“居住地)有关的更新证据,工作压力频道和母亲心理状态对怀孕结果的影响和对怀孕的态度进行了影响在专业培训期间。最后,职业准则与“妊娠友好”工作场所的理由以及对该专业和雇主进行这一领域的未来研究的建议。

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