Background <p>The emergency department (ED) is considered a&#xa0;dynamic workplace with particular stresses. Until now, this has often led to general employment bans for pregnant physicians, even though the amended Maternity Protection Act (MuSchG) was intended to strengthen professional participation.</p> Objective <p>By creating a&#xa0;“traffic light system” with permissible activities, the possible roles for pregnant women in the ED are evaluated. This is done in line with existing lists for other—predominantly surgical—specialties. These lists are based on both the protection of the health of the woman and the child and the right to participate in working life according to MuSchG §&#xa0;1. A&#xa0;differentiated, workplace-specific risk assessment is essential; employment bans that do not correspond to the wishes of the pregnant woman and for which there is no evidence should be avoided.</p> Results <p>Key risks in the ED (e.g., working alone, infections, aggression) can often be eliminated through targeted protective measures. A&#xa0;traffic light system facilitates the categorization of activities. Frequently expressed concerns about infection risks (biological substances) and employer liability are generally unfounded. Differentiated risk assessments can enable pregnant women to continue working safely.</p> Conclusion <p>Categorical rejection is often based on a&#xa0;generalized view (emergency medicine = high risk). Evidence-based risk management and the individual resilience of each pregnant woman are decisive factors in determining their ability to participate in the workforce in compliance with the MuSchG. Overly cautious interpretations have a&#xa0;negative impact on motivation and equity.</p>

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Positionspapier: Sicheres Arbeiten für schwangere Ärztinnen in der Notaufnahme

  • J. Lorenz,
  • A. Binter,
  • K. Deslogis,
  • D. Riedlinger,
  • N. Spitznagel,
  • C. Hidas,
  • S. Wicker,
  • S. Schacher

摘要

Background

The emergency department (ED) is considered a dynamic workplace with particular stresses. Until now, this has often led to general employment bans for pregnant physicians, even though the amended Maternity Protection Act (MuSchG) was intended to strengthen professional participation.

Objective

By creating a “traffic light system” with permissible activities, the possible roles for pregnant women in the ED are evaluated. This is done in line with existing lists for other—predominantly surgical—specialties. These lists are based on both the protection of the health of the woman and the child and the right to participate in working life according to MuSchG § 1. A differentiated, workplace-specific risk assessment is essential; employment bans that do not correspond to the wishes of the pregnant woman and for which there is no evidence should be avoided.

Results

Key risks in the ED (e.g., working alone, infections, aggression) can often be eliminated through targeted protective measures. A traffic light system facilitates the categorization of activities. Frequently expressed concerns about infection risks (biological substances) and employer liability are generally unfounded. Differentiated risk assessments can enable pregnant women to continue working safely.

Conclusion

Categorical rejection is often based on a generalized view (emergency medicine = high risk). Evidence-based risk management and the individual resilience of each pregnant woman are decisive factors in determining their ability to participate in the workforce in compliance with the MuSchG. Overly cautious interpretations have a negative impact on motivation and equity.