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Pediatrics board should modernize its maternity leave policy – Boston, Massachusetts

Boston, Massachusetts 2021-06-09 04:40:40 –

WowWhen the daughter began to reveal how comfortable she was in the womb, I didn’t plan to leave the hospital right away. I immediately sent a message to the obstetrician and gynecologist. “You need to administer an inducer.” I was worried that I wouldn’t have enough vacation from my adolescent medicine fellowship.

She planned the introduction within a few days and, with a gentle nod, told me that she also saw the maternity leave passing by the scheduled date.

Most of my residents and my doctor’s colleagues were women and were open about me. Conflict as a doctor’s motherWhen I returned to work six weeks later, my colleagues were surprised and sympathetic, but I found that the leadership of the program and my recovery were American Pediatric Commission..

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The accreditation body has produced a list of strict policies regarding pediatric fellowships. This does not allow fellows to take more than 12 weeks of vacation. Without extending the 3-year training programMaternity leave counts as part of the last 12 weeks, so I made a calculated decision not to spend all my vacation in a year. What if my daughter Mira gets sick or my parents and husband get sick? In this year when unimaginable things became a daily occurrence, I had to extend my training.

The irony of the American Pediatrics Commission, which established this provision, also applies to field trainees learning the benefits of breastfeeding, such as counseling patients not to start milking six weeks in advance. Realizing the depletion of sand in the hourglass, I started pumping in three weeks.

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Fortunately, I didn’t know how difficult it would be to recover from childbirth. I ran 4 miles a day until the 39th week of pregnancy, and I was relieved that my blood pressure was normal and my prenatal diagnosis was “low risk”. The introduction was also relatively smooth. Meera appeared after 1.5 hours of pushing. However, the crevice in the lip caused genu valgum for weeks, followed by heavy bleeding. For over a month, it was painful to empty my intestines, urinate, laugh, and cough. To get to the bathroom, I had to support my body along the wall.

Running was a way to stay sane during my pediatric training. During that absence, I was sobbing to see how weak and bedridden I was. I didn’t like to hear the actual physical and emotional trauma called what sounds benign like the “baby blues.”

In non-childbirth situations, even the most lazy doctors will be unable to walk, lose urinary incontinence, and hesitate to discharge patients who have had blood soaked in industrial-sized pads every hour from the hospital. Physical and emotional difficulties continued over the next 6 weeks.

As a resident, when I checked a woman’s postpartum depression on her first newborn visit, I remembered countless things without someone becoming positive. When a healthy and beautiful baby was born, my form I was embarrassed to admit that I was depressed. “Are my patients afraid to answer honestly?” I wondered.

Even my training in pediatrics did not properly recognize how essential maternal health was to the well-being of the baby. How long does it take to recover the body when caring for a demanding newborn baby? Will it take? And how much help does the new mother need from family, friends, physiotherapists, and other health care providers?

And even with all the support I got, I was overwhelmed and unprepared to get to work. I wasn’t breastfeeding well, so I tried not to leave the house without a zip-up jacket over my dress shirt. My hips were loose and my walking was unstable. I went to work with a napkin after giving birth because bleeding became faster when I walked fast. And my mind was divided by postpartum anxiety and depression: Was I a good mom?Did my parents or parents-in-law decide that I left such a little baby? Can I go through the clinic without pumping??? If not, will my colleague judge me?

It was difficult to deal with worried parents when my own fear of improper parenting created their own static.

When announced by the American College of Obstetrics and Gynecology Postpartum care guidelines In 2018, it literally realized the future and how national policy is in the care of those who reconsidered postnatal care as more than a one-time permit for six weeks to return to normal across the Rubicon River. Admitted to be negligent. The guidelines instead recommend a 12-week interval between frequent and meaningful check-ins rather than ensuring healing stitches.

Thirteen weeks have passed since Mira was born. She has been sleeping for a longer time now (although we are certainly careful in case of sleep regression). I can easily milk enough milk to make her last longer, even at work. I set up a postpartum support group and had the hardest days. I can run again. And I needed one day a day to heal more than 90 days.

It is necessary to change the policy from the organization that advocates the welfare of children. The total leave allowed during a pediatric fellowship cannot match the standard 12-week maternity leave. Pediatricians are already in short supply due to the long need for training and low salaries. The majority of pediatric donors are still women, and the peak of childbirth overlaps with fellowship training.

Strict fellowship training and maternity leave do not have to be mutually exclusive. Nothing is more rigorous for a pediatrician than creating a newborn page every two hours and compiling a differential diagnosis (sleepy, tired, hungry, moist). Fellowships have ways to allow maternity leave to be meaningfully structured to meet programmatic requirements. My Residency Program at the University of New Mexico is a generous new way to discuss how parenting has changed the way we approach patients and their families without a phone call for a month after using annual paid leave. There was a parent’s elective course. Their own challenges and prejudices. Growth as a parent for a month.

Fellowship training in pediatrics is mandatory for three years, so if you have enough time to choose, you can take a similar approach. In adolescent medicine, this is a one-month elective, during which the doctor’s parents can effectively meet their teenage parents once a week. Patients and doctors rarely have the opportunity to humbly listen to the same task and speak on an equal footing. I say that once a week, mentors will guide other professional fellows through cases in their area of ​​interest to discuss how to approach counseling, diagnostic discussions, and limiting patient expectations differently from their parental experience. You can imagine a similar approach.

If you expect a woman to continue to take care of her child as a doctor or parent, you cannot continue to give her an impossible short maternity leave.Is American Obstetrics and Gynecology Commission For fellowships, we offer up to 12 weeks of vacation per year, up to 20 weeks for 3-year fellowships, and up to 16 weeks for 2-year fellowships. If the American Pediatric Commission cannot be the leader in this issue, it must at least be a follower.

Megana Dwarakanath is an Adolescent Medicine Fellow at the University of Pittsburgh Medical Center.



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