Experience of pregnancy during family medicine residency: Qualitative research study.

Objective: To explore the challenges that childbearing family medicine residents encounter during postgraduate training and to understand the available support systems.

Design: Descriptive qualitative research study.

Setting: British Columbia, Canada.

Participants: Nine University of British Columbia family medicine residents who experienced pregnancy during their residencies between 2014 and 2018.

Methods: Semistructured telephone interviews with family medicine residents were conducted until data reached saturation. Audiorecorded interviews were transcribed and analyzed using content analysis with an iterative approach to elucidate themes. Member checking and peer debriefing were used to ensure the rigour of the findings.

Main Findings: The participants reported various unique challenges during pregnancy, maternity leave, and return to work. Residents during pregnancy tended to prioritize work over one's own well-being and reported an increased level of perceived adverse symptoms. During maternity leave, residents reported postpartum depression, anxiety, and conflict between the roles of parent and physician. Upon return to work, participants perceived a decrease in their clinical function and reported feelings of guilt and anxiety because of the shared burden of residency with family. Residents found their programs supportive throughout pregnancy and maternity leave; however, a decrease in support upon return to work was a recurring theme in responses.

Conclusion: Pregnancy during family medicine residency has unique challenges, necessitating support from programs, preceptors, and colleagues. Further resources and incentives are needed to facilitate the transition back to work after maternity leave.