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Background <p>With the revision of the Maternity Protection Act in 2018, it was clarified that surgical activities for pregnant and breastfeeding physicians are possible in principle following an individual risk assessment. Nevertheless, there is still uncertainty in many hospitals, often leading to general employment bans on inadmissable activities and disadvantages for the career development of female surgeons.</p> Objective <p>For the first time, the interdisciplinary consensus paper aims to provide consistent recommendations with legal certainty for surgical activity of pregnant and breastfeeding female surgeons, which are approved by the specialist societies. This article pays particular attention to the specific risks in vascular surgery.</p> Methods <p>The paper contains comprehensive information on the Maternity Protection Act, risk assessment, working time regulations and protective measures. For practical implementation, positive lists were created that specify, for each surgical specialty, which procedures can be safely performed under defined protective measures.</p> Results <p>The consensus paper represents a&#xa0;milestone in surgery. It enables the legally secure continued activity of pregnant and breastfeeding female surgeons in the operating room, provided individual risks are assessed and protective measures are implemented. In vascular surgery, specific aspects such as radiation and infection protection as well as the type of anesthesia are particularly considered. The recommendations prevent unnecessary career interruptions and create greater safety and transparency for all involved.</p>

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Fächerübergreifender Konsens in der Chirurgie

  • 期刊论文

  • 发表日期：

    2025年8月4日

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  • Doreen Richardt,
  • Maya Niethardt,
  • Andrea Kreuder

摘要

Background

With the revision of the Maternity Protection Act in 2018, it was clarified that surgical activities for pregnant and breastfeeding physicians are possible in principle following an individual risk assessment. Nevertheless, there is still uncertainty in many hospitals, often leading to general employment bans on inadmissable activities and disadvantages for the career development of female surgeons.

Objective

For the first time, the interdisciplinary consensus paper aims to provide consistent recommendations with legal certainty for surgical activity of pregnant and breastfeeding female surgeons, which are approved by the specialist societies. This article pays particular attention to the specific risks in vascular surgery.

Methods

The paper contains comprehensive information on the Maternity Protection Act, risk assessment, working time regulations and protective measures. For practical implementation, positive lists were created that specify, for each surgical specialty, which procedures can be safely performed under defined protective measures.

Results

The consensus paper represents a milestone in surgery. It enables the legally secure continued activity of pregnant and breastfeeding female surgeons in the operating room, provided individual risks are assessed and protective measures are implemented. In vascular surgery, specific aspects such as radiation and infection protection as well as the type of anesthesia are particularly considered. The recommendations prevent unnecessary career interruptions and create greater safety and transparency for all involved.