Ped Cast SBP: Empresa Cidadã

Em comemoração ao Agosto Dourado, o mês do aleitamento materno no Brasil, trouxemos um tema importante para todas as mulheres trabalhadoras que amamentam: o Programa Empresa Cidadã, que oferece o benefício da licença-maternidade estendida para 6 meses, como preconiza a Sociedade Brasileira de Pediatria (SBP). Para falar sobre esse tema, a nossa convidada desta edição é a dra. Dolores Fernandez, do Departamento Científico de Aleitamento Materno da SBP.

Podcast RP Convida: Fim da licença-maternidade

A convidada do podcast especial sobre amamentação da revista Residência Pediátrica (RP) é a dra. Rosa Negri, do Departamento Científico de Aleitamento Materno da Sociedade Brasileira de Pediatria (SBP). Na nova edição, ela aborda os desafios e orientações sobre “o fim da licença-maternidade”.

Podcast RP Convida: Como manter o aleitamento materno na volta ao trabalho

Divulgação do podcast da série “RP Convida - especial Agosto Dourado”, da revista Residência Pediátrica (RP). No programa, o presidente do Departamento Científico de Aleitamento Materno da Sociedade Brasileira de Pediatria (SBP), dr. Luciano Borges Santiago, reforça a necessidade da rede de apoio à mulher – composta por pai, familiares, profissionais de saúde, empresa e outros – para a manutenção da amamentação no retorno às atividades laborais.

Podcast RP Convida: Qual a importância de ser uma Empresa Cidadã?

Edição especial Agosto Dourado com o podcast da revista Residência Pediátrica (RP) da Sociedade Brasileira de Pediatria, apresenta o tema "Qual a importância de ser uma Empresa Cidadã?". A Doutora Rossiclei Pinheiro, presidente do Departamento Científico de Aleitamento Materno da SBP, responde.

SBP comemora decisão do STF que garante licença-maternidade às mães de prematuros a partir da alta hospitalar

A licença-maternidade para mães de bebês prematuros passará a valer após a alta hospitalar da mãe ou do recém-nascido, no caso de internações superiores a duas semanas, e não na data do parto. A decisão, proferida pelo plenário do Supremo Tribunal Federal (STF), vale para as gestantes e mães amparadas pela Consolidação das Leis do Trabalho (CLT) e foi celebrada pelos pediatras brasileiros.

ONG Prematuridade.com elabora cartilha sobre Direitos no Contexto da Prematuridade

ONG Prematuridade.com elaborou uma cartilha que traz informações sobre a ampliação da licença maternidade com o passo a passo para obtenção do benefício.

Pregnancy in physicians: A scoping review.

BACKGROUND: The personal health and professional impact of physician pregnancy requires further study. We performed a comprehensive scoping review of physician pregnancy to synthesize and assess the evidence to aid decision-making for relevant stakeholders. METHODS: A search of 7 databases resulted in 3733 citations. 407 manuscripts were included and scored for evidence level. Data were extracted into themes using template analysis. RESULTS: Physician pregnancy impacted colleagues through perceived increased workload and resulted in persistent stigmatization and discrimination despite work productivity and academic metrics being independent of pregnancy events. Maternity leave policies were inconsistent and largely unsatisfactory. Women physicians incurred occupational hazard risk and had high rates of childbearing delay, abortion, and fertility treatment; obstetric and fetal complication rates compared to controls are conflicting. CONCLUSIONS: Comprehensive literature review found that physician pregnancy impacts colleagues, elicits negative perceptions of productivity, and is inadequately addressed by current parental leave policies. Data are poor and insufficient to definitively determine the impact of physician pregnancy on maternal and fetal health. Prospective risk-matched observational studies of physician pregnancy should be pursued.

5/8 - Conferência de Abertura: Apoiar a Amamentação para um Planeta mais Saudável

Palestra que integra os eventos alusivos à Semana Mundial do Aleitamento Materno 2020. Eventos: XII SEMINÁRIO ESTADUAL DA SEMANA MUNDIAL DE AMAMENTAÇÃO VII SEMINÁRIO ESTADUAL DA ESTRATÉGIA AMAMENTA E ALIMENTA BRASIL Palestrante: Nutricionista Regicely Aline Brandão

The Health Care Provider's Role in Securing Work Accommodations for Pregnant and Postpartum Patients.

Most women today are the primary, sole, or cobreadwinners for their families; their continued ability to work during and after pregnancy is crucial for their families' well-being. Midwives and other health care providers are regularly asked to provide work notes for patients who need adjustments to how, when, or where their job is done to continue working while maintaining a healthy pregnancy or breastfeeding. Whereas an improperly written work note can result in the patient being forced out on leave or losing their job, an effectively written work note from a health care provider can ensure the patient will receive the adjustments they need to stay safe and healthy on the job. Health care providers can also play an important role by incorporating discussions about workplace issues into care conversations. This article provides an overview of pregnancy-related employment rights, guidelines for writing effective work notes, and a discussion of common workplace issues patients face and how health care providers can respond.

The impact of paid family leave in the United States on birth outcomes and mortality in the first year of life.

OBJECTIVE: To evaluate the effect of paid family leave in California on statewide rates of preterm birth, low birthweight, postneonatal mortality, and overall infant mortality. DATA SOURCES: Live birth and death certificates from all in-hospital deliveries occurring in California (state exposed to the family leave policy) and two unexposed states (Missouri and Pennsylvania) from 1999 to 2008 (n = 6 164 203). STUDY DESIGN: We used a difference-in-differences approach to compare rates of infant health outcomes before and after implementation of the 2004 policy in California with rates in two states without paid family leave policies. Prespecified stratified analyses examined whether policy response differed by maternal characteristics. Conditional regression models using comparisons matched on a mother's likelihood of living in California in the pre-family leave period were then employed as sensitivity analyses to confirm our findings. DATA COLLECTION/EXTRACTION METHODS: Probabilistic methods were used to match live birth records to maternal and newborn hospital records. Only singleton births were included. Dyads were excluded if the infant gestational age was <23 weeks or greater than 44 weeks or if the birthweight was an outlier. PRINCIPAL FINDINGS: Compared to the unexposed states, adjusted postneonatal mortality rates decreased by 12 percent in California after 2004 (aOR 0.88, 95% CI 0.80-0.97). There were no significant effects on the other outcomes. There were no differences in the effect by race/ethnicity or insurance status except for increased odds of low birthweight among privately insured women in California after 2004. Point estimates in the propensity score-matched sensitivity models were similar to the results of the fully adjusted models for all four outcomes, but confidence intervals crossed one. CONCLUSIONS: Implementation of paid family leave policies in California was associated with a 12 percent reduction in postneonatal mortality after adjusting for maternal and neonatal factors.

Changes in maternity leave coverage: Implications for fertility, labour force participation and child mortality.

Analysing macro-panel data from 18 African and Asian countries over the period 1995-2016, this article investigates the effects of the level and duration of paid maternity leave on three dimensions of human development: fertility, female formal-sector employment and infant mortality. There is some evidence that, on average, extending the duration of leave leads to reductions in infant mortality and employment. However, there is no conclusive evidence that leave duration has a direct effect on fertility. In contrast, there is some evidence that higher maternity leave payments lead to higher fertility, but no evidence that payment levels have any effect on infant mortality or employment.

Supporting New Physicians and New Parents: A Call to Create a Standard Parental Leave Policy for Residents.

Parents taking leave after the birth of a child is associated with significant benefits for infants, mothers, and fathers. Although nearly 40% of residents have or plan to have children during residency, there is no standard parental leave policy for these trainees. In this Perspective, the authors discuss the benefits of parental leave, synthesize findings about maternity bias and other negative effects of the current variable approaches to parental leave during residency, and explore underlying causes of the lack of a standard parental leave policy for residents. They also call on the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties to work together to address this issue, recommending a standard parental leave policy that ensures a minimum of 8 weeks of paid leave for all residents without requiring them to extend training or making them ineligible to sit for board certification exams. Creating evidence-based and family-friendly guidelines for parental leave is important to the progress of academic medicine in the modern era, as it supports parental and child health, promotes resident wellness, and reduces gender disparities in medicine to the benefit of all.

Fellowship or Family? A Comparison of Residency Leave Policies With the Family and Medical Leave Act.

BACKGROUND: In 1993, the Family and Medical Leave Act (FMLA) mandated 12 weeks of unpaid, job-protected leave. The current impact of taking 12 weeks of leave during residency has not been evaluated. METHODS: We examined the 2018 Accreditation Council for Graduate Medical Education (n = 24) specialty leave policies to determine the impact of 6- and 12-week leave on residency training, board eligibility, and fellowship training. We compared our findings with a 2006 study. RESULTS: In 2018, five (21%) specialties had policy language regarding parental leave during residency, and four (16%) had language regarding medical leave. Median leave allowed was 4 weeks (IQR 4-6). Six specialties (25%) decreased the number of weeks allowed for leave from 2006 to 2018. In 2006, a 6-week leave would cause a 1-year delay in board eligibility in six specialties; in 2018, it would not cause delayed board eligibility in any specialty. In 2018, a 12-week (FMLA) leave would extend training by a median of 6 weeks (mean 4.1, range 0-8), would delay board eligibility by 6-12 months in three programs (mean 2.25, range 0-12), and would delay fellowship training by at least 1 year in 17 specialties (71%). The impact of a 12-week leave was similar between medical and surgical specialties. CONCLUSIONS: While leave policies have improved since 2006, most specialties allow for 6 weeks of leave, less than half of what is mandated by the FMLA. Moreover, a 12-week, FMLA-mandated leave would cause significant delays in board certification and entry into fellowship for most residency programs.

Who benefits from social investment? The gendered effects of family and employment policies on cardiovascular disease in Europe.

BACKGROUND: In the context of fiscal austerity in many European welfare states, policy innovation often takes the form of 'social investment', a contested set of policies aimed at strengthening labour markets. Social investment policies include employment subsidies, skills training and job-finding services, early childhood education and childcare and parental leave. Given that such policies can influence gender equity in the labour market, we analysed the possible effects of such policies on gender health equity. METHODS: Using age-stratified and sex-stratified data from the Global Burden of Disease Study on cardiovascular disease (CVD) morbidity and mortality between 2005 and 2010, we estimated linear regression models of policy indicators on employment supports, childcare and parental leave with country fixed effects. FINDINGS: We found mixed effects of social investment for men versus women. Whereas government spending on early childhood education and childcare was associated with lower CVD mortality rates for both men and women equally, government spending on paid parental leave was more strongly associated with lower CVD mortality rates for women. Additionally, government spending on public employment services was associated with lower CVD mortality rates for men but was not significant for women, while government spending on employment training was associated with lower CVD mortality rates for women but was not significant for men. CONCLUSIONS: Social investment policies were negatively associated with CVD mortality, but the ameliorative effects of specific policies were gendered. We discuss the implications of these results for the European social investment policy turn and for future research on gender health equity.