Pregnancy and parenthood during gastroenterology training present unique challenges. Long hours, exposure to endoscopic procedures, and workplace expectations can affect wellbeing, career progression, and professional performance. The aim of this study is to evaluate the experiences, challenges, and support systems for gastroenterology trainees during pregnancy or parenthood.

A cross-sectional survey targeted trainees who were pregnant or whose partners were pregnant over the last three years. Data collected included demographics, working hours, perceived support from colleagues and supervisors, exposure to occupational hazards (anesthetic gases, radiation, bloodborne pathogens), pregnancy complications, and postnatal adaptation to work

Thirty-four female and three male trainees (mean age 28 ± 3.5 years) participated. Among women, 60% experienced pregnancy during training. Prior to pregnancy, 80% worked >40 hours/week; during pregnancy, 70%, 55%, and 35% continued similar workloads in the first, second, and third trimesters, respectively. Over half (53%) experienced at least one pregnancy complication. Major occupational risks were inadequately addressed: anesthetic gases (45%), bloodborne pathogens (35%), radiation (18%), and prolonged endoscopy sessions (30%). Postpartum, male trainees were more likely to resume full-time work than females (93% vs 62%, p=0.03). Both sexes reported challenges balancing childcare with training and reduced productivity. Women more frequently perceived parenthood as affecting ambition and career progression (p=0.02).

Pregnancy and parenthood during gastroenterology training pose significant physical and professional challenges. Training programs should proactively assess occupational risks, implement supportive policies, and promote a culture that normalizes parental responsibilities to ensure trainee wellbeing, professional growth, and gender equity.