{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T20:03:48Z","timestamp":1775073828539,"version":"3.50.1"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study synthesizes and characterizes pregnancy outcomes and complications among US female physician trainees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>In this systematic review, the PubMed, Embase, Scopus, Web of Science, and Cochrane databases were searched in May 2024 and May 2025 for peer-reviewed, English-language articles published from January 2000 to May 2025 reporting pregnancy outcomes in US female residents or fellows. Medical Subject Headings and keywords for pregnancy complications, pregnancy outcomes, and women or female physicians were used. Cross-sectional, retrospective, prospective, and case-control studies were included. Opinion articles, editorials, systematic or scoping reviews, and other non\u2013peer-reviewed articles were excluded. Abstracts and full-text articles were screened by 3 investigators. Extracted data were documented in standardized forms. Risk of bias was assessed regarding study population and outcome reporting and summarized using standardized quality assessment tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 792 titles and abstracts screened, 10 articles involving 4,891 trainees were included. Eight of these 10 studies described pregnancy outcomes specifically in surgical trainees; all were cross-sectional surveys. The numbers of trainees experiencing pregnancy complications ranged from 38.9% to 56.0%. The most frequently described complication was preterm labor (9 of 10 studies), affecting 5.3% to 22.9% of surveyed trainees. The most cited fetal complication was miscarriage (5 of 10 studies), affecting 20.0% to 28.0% of trainee pregnancies. Other commonly reported complications included preeclampsia or eclampsia, hyperemesis gravidarum, and gestational hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although pregnancy complications appear to be common among female physician trainees, current data on obstetric outcomes in this population remain limited. Most studies focus specifically on surgical trainees and rely on self-reported data, limiting generalizability. Residency programs may consider findings from this review to enhance support for childbearing trainees, although prospective studies are needed to better discern the impact of medical training on maternal and fetal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/acamed\/wvaf030","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:02:03Z","timestamp":1770134523000},"page":"226-233","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy outcomes in US female physician trainees: a systematic review"],"prefix":"10.1093","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7398-2084","authenticated-orcid":false,"given":"Donya","family":"Derakshani","sequence":"first","affiliation":[{"name":"Mayo Clinic Alix School of Medicine, Phoenix, AZ, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00edsa","family":"de Lima Barbosa Colapietro","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine, Phoenix, AZ, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9830-9194","authenticated-orcid":false,"given":"Nadia","family":"Islam","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine, Phoenix, AZ, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5043-7567","authenticated-orcid":false,"given":"Michelle","family":"Louie","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Gynecology, Mayo Clinic Arizona, Phoenix, AZ, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,2]]},"reference":[{"key":"wvaf030-B1-20260320","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1097\/ACM.0000000000004629","article-title":"The medical community\u2019s evolving focus on physician and surgeon pregnancy: thematic trends from a scoping review","volume":"97","author":"Hanchuk","year":"2022","journal-title":"Acad Med"},{"key":"wvaf030-B2-20260320","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.jamcollsurg.2008.10.012","article-title":"Birth trends and pregnancy complications among women urologists","volume":"208","author":"Lerner","year":"2009","journal-title":"J Am Coll Surg"},{"key":"wvaf030-B3-20260320","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/00001888-200304000-00021","article-title":"Pregnancy during residency: a literature review","volume":"78","author":"Finch","year":"2003","journal-title":"Acad Med"},{"key":"wvaf030-B4-20260320","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1001\/jamasurg.2024.2399","article-title":"Pregnancy and parenthood among US surgical residents","volume":"159","author":"Li","year":"2024","journal-title":"JAMA 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Sci"},{"key":"wvaf030-B11-20260320","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.amjsurg.2018.07.036","article-title":"Perspectives of pregnancy and motherhood among general surgery residents: a qualitative analysis","volume":"216","author":"Rangel","year":"2018","journal-title":"Am J Surg"},{"key":"wvaf030-B12-20260320","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1093\/postmj\/qgae164","article-title":"Policy and perceptions of pregnancy during training among residents of various subspecialties","volume":"101","author":"Morgan","year":"2025","journal-title":"Postgrad Med J"},{"key":"wvaf030-B13-20260320","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic 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Surg"},{"key":"wvaf030-B19-20260320","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1067\/msy.2002.127685","article-title":"Maternity policy and practice during surgery residency: how we do it","volume":"132","author":"Carty","year":"2002","journal-title":"Surgery"},{"key":"wvaf030-B20-20260320","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1097\/XCS.0000000000000173","article-title":"Postpartum depression in surgeons and workplace support for obstetric and neonatal complication: results of a national study of US surgeons","volume":"234","author":"Castillo-Angeles","year":"2022","journal-title":"J Am Coll Surg"},{"key":"wvaf030-B21-20260320","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1177\/000313480907500512","article-title":"Pregnancy during otolaryngology residency: experience and recommendations","volume":"75","author":"Cole","year":"2009","journal-title":"Am 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