(A1007) From Training to Practice: Navigating Family Planning and Peripartum Challenges in Otolaryngology a Qualitative Study

Introduction: Despite the growing number of women entering otolaryngology, there is a paucity in research on family planning and the peripartum period at different career stages. This study examines the experiences of family planning and assesses pregnancy-related obstacles faced at different points in the surgical careers of female otolaryngologists.

Methods: This qualitative study was conducted with otolaryngologists who experienced pregnancy within the past 10 years, exploring themes such as pregnancy timing, clinical responsibilities, parental leave, childcare, and breastfeeding and pumping at work. Data analysis was completed using standard thematic coding and qualitative analysis of transcribed interviews.

Results: Twelve participants from eight institutions were interviewed. Each had an average of 2-3 pregnancies. Six pregnancies were during residency, ten within five years post-residency, and two more than five years post-residency. Most (n=10, 83.3%) delayed pregnancy until a research block or after completing training, citing these as favorable periods for family planning. Limited parental leave during residency (4-6 weeks) was a common challenge, while attendings had longer leave (8-16 weeks) but faced productivity pressures before and after returning to work. Most participants felt supported by colleagues in attending prenatal care, often scheduled nearby to save time. However, lactation accommodations varied; while some hospitals had formal lactation areas, over half of participants resorted to makeshift spaces with minimal privacy. Many expressed a need for self-advocacy to secure time for pumping. The smaller size of otolaryngology departments without a recent colleague who went through similar experiences left many participants feeling isolated in navigating peripartum challenges.

Conclusions: Findings in this study highlight the impact of career stage, policies, and role models on otolaryngologists’ family planning decisions. Normalizing workplace discussions and advocating for supportive policies are essential to improving quality of life for otolaryngologists.