Birth Trends among Female Physicians in Taiwan: A Nationwide Survey from 1996 to 2013

Wang, Yi-Jen; Chiang, Shu Chiung; Chen, Tzeng Ji; Chou, Li Fang; Hwang, Shinn Jang; Liu, Jui Yao

doi:10.3390/ijerph14070746

Cited by 11 publications

(10 citation statements)

References 25 publications

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“…57 Aim 1: compare reproductive patterns in women physicians and non-physicians Rationale and overview Numerous survey-based studies suggest that women physicians frequently delay childbearing and subsequently experience a higher rate of infertility compared with the general population. 3 17-20 This has been quantified in only one retrospective cohort study assessing birth trends among Taiwanese female physicians, 21 which demonstrated that maternal age at delivery was up to 4 years later in physicians than non-physicians. Further studies are needed to characterise the timing and factors impacting pregnancy in physicians.…”

Section: Open Accessmentioning

confidence: 99%

Reproductive patterns, pregnancy outcomes and parental leave practices of women physicians in Ontario, Canada: the Dr Mom Cohort Study protocol

et al. 2020

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IntroductionSurveys and qualitative studies suggest that women physicians may delay childbearing, be at increased risk of adverse peripartum complications when they do become pregnant, and face discrimination and lower earnings as a result of parenthood. Observational studies enrolling large, representative samples of women physicians are needed to accurately evaluate their reproductive patterns, pregnancy outcomes, parental leave practices and earnings. This protocol provides a detailed research plan for such studies.Methods and analysisThe Dr Mom Cohort Study encompasses a series of retrospective observational studies of women physicians in Ontario, Canada. All practising physicians in Ontario are registered with the College of Physicians and Surgeons of Ontario (CPSO). By linking a dataset of physicians from the CPSO to existing provincial administrative databases, which hold health data and physician billing records, we will be able to retrospectively assess the healthcare utilisation, work practices and pregnancy outcomes of women physicians at the population level. Specific outcomes of interest include: (1) rates and timing of pregnancy; (2) pregnancy-related care and complications; and (3) duration of parental leave and subsequent earnings, each of which will be evaluated with regression methods appropriate to the form of the outcome. We estimate that, at minimum, 5000 women physicians will be eligible for inclusion.Ethics and disseminationThis protocol has been approved by the Research Ethics Board at St. Michael’s Hospital in Toronto, Ontario, Canada (#18–248). We will disseminate findings through several peer-reviewed publications, presentations at national and international meetings, and engagement of physicians, residency programmes, department heads and medical societies.

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Section: Open Accessmentioning

confidence: 99%

Reproductive patterns, pregnancy outcomes and parental leave practices of women physicians in Ontario, Canada: the Dr Mom Cohort Study protocol

et al. 2020

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“…International research indicates that female doctors tend to have children later in life, 19 – 22 with higher rates of infertility, 19 , 21 assisted reproduction, 19 and pregnancy complications 19 , 23 than the general population. Australian data are lacking; however, with the rise of graduate-entry programmes, the average age of Australian medical graduates is increasing, inducing overlap of medical training with parenthood.…”

Section: Discussionmentioning

confidence: 99%

Merging motherhood and medicine: A qualitative study exploring barriers and enablers to motherhood among female doctors in Australia

COLLIE

Lew

Peate

2022

Womens Health (Lond Engl)

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Objectives: To identify barriers and enablers to motherhood experienced by female doctors in Australia. Methods: Semi-structured telephone interviews were conducted with 18 female physician-mothers in Australia, during March and May 2020. Interview data were examined using thematic analysis to extract key themes. Results: Six key barriers and seven key enablers were identified. Barriers (B1–6) largely reflected structural and cultural issues operating within health services and the wider medical profession. Barriers were the experience of working in medicine (B1); demands of postgraduate specialty training (B2); attitudes towards mothers in medicine (B3); gender inequality (B4); insufficient entitlements and support (B5); and competing priorities, conflicting roles (B6). Enablers were supportive partnerships (E1); break from traditional gender roles (E2); capacity to delegate/outsource (E3); doctors supporting doctors (E4); flexible work arrangements (E5); increasing acceptance and support (E6); and capacity to combine career and family (E7). Conclusion: This was the first qualitative study to explore motherhood experiences among female doctors in Australia. Participants reported structural and cultural barriers during all stages of motherhood. The mismatch between identified barriers and available supports reveals opportunities for improving the experience of physician-mothers.

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“…Studies have shown that encouraging care seeking during pregnancy can prevent macrosomia among newborns in rural China. Wang et al ( 24 ) have studied the fertility of female doctors in Taiwan. Their decisions on pregnancy may be affected by long-term medical education and training, leading to the fact that female physicians usually give birth at an older age than non-physicians.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Environmental and Social Significant Factors Affecting the Flow of Maternal Patients in Jilin, China

Wang

et al. 2022

Front. Public Health

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BackgroundWith the implementation of China's Two-child policy, the number of pregnant women has been increasing year by year in recent years. However, the pregnancy success rate of pregnant women is declining year by year, and it is almost necessary for all the elderly mothers to do pregnancy protection.ObjectiveThe purpose of this study is to analyze the social and environmental factors that affect the patient flow of pregnant women in Jilin area of China, and further utilize the favorable factors to avoid the negative effects of adverse factors, so as to improve the pregnancy success rate and eugenics level.MethodsMonthly patient flow data from 2018 to 2020 were collected in the obstetrics department of the First Hospital of Jilin University. The decompose function in R software was used to decompose the time series data, and the seasonal and trend change rules of the data were obtained; the significant factors influencing patient flow were analyzed by using Poisson regression model, and the prediction model was verified by using assumptions, such as the normal distribution of residuals and the constant difference of residuals.ResultsTemperature in environmental factors (P = 4.00E−08) had a significant impact on the flow of obstetric patient. The flow of patients was also significantly affected by the busy farming (P = 0.0013), entrance (P = 3.51E−10) and festivals (P = 0.00299). The patient flow was accompanied by random flow, but also showed trend change and seasonal change. The trend of change has been increasing year by year. The seasonal variation rule is that the flow of patients presents a trough in February every year, and reaches the peak in July.ConclusionIn this article, Poisson regression model is used to obtain the social and environmental significant factors of obstetric patient flow. According to the significant factors, we should give full play to significant factors to further improve the level of eugenics. By using time series decomposition model, we can obtain the rising trend and seasonal trend of patient flow, and then provide the management with decision support, which is conducive to providing pregnant women with higher level of medical services and more comfortable medical experience.

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Birth Trends among Female Physicians in Taiwan: A Nationwide Survey from 1996 to 2013

Cited by 11 publications

References 25 publications

Reproductive patterns, pregnancy outcomes and parental leave practices of women physicians in Ontario, Canada: the Dr Mom Cohort Study protocol

Reproductive patterns, pregnancy outcomes and parental leave practices of women physicians in Ontario, Canada: the Dr Mom Cohort Study protocol

Merging motherhood and medicine: A qualitative study exploring barriers and enablers to motherhood among female doctors in Australia

Analysis of Environmental and Social Significant Factors Affecting the Flow of Maternal Patients in Jilin, China

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