Published evidence around occupational exposures in orthopaedics, both during pregnancy and in the normal course of work for all healthcare workers, is extensive and varied.
This document aims to assess the current literature in regard to occupational hazards in the orthopaedic operating theatre and how it pertains to pregnant health care workers. The aim of this document is to provide evidence-based recommendations to AOA members and trainees to support decision making and risk management for foetal exposure and mother wellbeing during pregnancy.
In preparation for these guidelines a literature review was performed. Additionally, telephone interviews were performed of female orthopaedic trainees and junior consultants who have experienced fertility treatments, pregnancy, pregnancy loss, delivery, interruption to training and return to work in recent years. This interview process was opt-in and self-referred.
Experiences were varied – findings from these interviews were intended to help design the structure and contents of these guidelines and the needs of the healthcare workers for whom these guidelines are intended.
These guidelines offer the recommendations that have arisen from this research.
For the full literature review please see:
‘Occupational hazards and pregnancy in orthopaedics: female surgeons are at increased risk of infertility and pregnancy complications’.
Garcia E, Mandaleson A, Stannage K, Williams N. Occupational hazards and pregnancy in orthopaedics: female surgeons are at increased risk of infertility and pregnancy complications. ANZ J Surg. 2024 Apr 8. doi: 10.1111/ans.18992. PMID: 38590139.
The article can be accessed via the
ANZ Journal of Surgery
Recommendations are made based on assessment of the current evidence base and are considered up to date at the time of writing. Recommendations are intended as a guide and should not replace personalised medical review and advice. Ultimately each pregnant worker must decide for themselves what is right for their personal circumstances.